Tree of Life Counseling Center, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW10704 Issued in FL

Legal business name

TREE OF LIFE COUNSELING CENTER, LLC

Practice address

8163 S Florida Ave
Floral City, FL 34436-3101

Phone

(352) 400-9118

NPI assigned

Feb 4, 2016

Last updated

Mar 30, 2017By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Laurie P Keefe-Cecere, LCSWNPI 1275806358

Title

Manager

Phone

(352) 400-9118

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Laurie Patricia Keefe-Cecere, LCSW

  • Clinical Social Worker
  • Floral City, FL
  • NPI 1275806358
  Medicare reassignment Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1454544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490832000000",
    "number": "1538527619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 121",
            "city": "FLORAL CITY",
            "state": "FL",
            "postal_code": "344360121",
            "telephone_number": "352-400-9118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8163 S FLORIDA AVE",
            "city": "FLORAL CITY",
            "state": "FL",
            "postal_code": "344363101",
            "telephone_number": "352-400-9118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREE OF LIFE COUNSELING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-04",
        "last_updated": "2017-03-30",
        "status": "A",
        "authorized_official_last_name": "KEEFE-CECERE",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "352-400-9118",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW10704",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004716700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebekah D Potter, LMT
• Purposed Compassion & Care Services
• Carrie Reeves
• Silver Springs Kayaking LLC (Throne Signature Services)
• Brittney E Stevens
• West Florida Medical Associates P a (Seva Services)
• Celia Wines, FNP-C

• Clinical Social Worker in Floral City, FL
• Providers in Floral City, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.