Active NPI
Dreaming Tree Wellness, LLC
- Clinical Social Worker
- Midlothian, VA
National Provider Identifier
1730869595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- DREAMING TREE WELLNESS, LLC
- Practice address
- 14321 Winter Breeze Dr
Midlothian, VA 23113-2452 - Phone
- (804) 924-7173
- NPI assigned
- Jul 18, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Leslie Tucker-Guilfoyle, MED, MSW, LCSW, MAC
- Title
- Member/Owner
- Phone
- (804) 924-7173
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
14321 Winter Breeze Dr
Midlothian, VA 23113-2452
Mailing address
14321 Winter Breeze Dr
Midlothian, VA 23113-2452
Phone (804) 924-7173
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689638400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1689638400000",
"number": "1730869595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14321 WINTER BREEZE DR",
"city": "MIDLOTHIAN",
"state": "VA",
"postal_code": "231132452",
"telephone_number": "804-924-7173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14321 WINTER BREEZE DR",
"city": "MIDLOTHIAN",
"state": "VA",
"postal_code": "231132452",
"telephone_number": "804-924-7173"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DREAMING TREE WELLNESS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-07-18",
"last_updated": "2023-07-18",
"certification_date": "2023-07-18",
"status": "A",
"authorized_official_last_name": "TUCKER-GUILFOYLE",
"authorized_official_first_name": "LESLIE",
"authorized_official_title_or_position": "MEMBER/OWNER",
"authorized_official_telephone_number": "804-924-7173",
"authorized_official_credential": "MED, MSW, LCSW, MAC"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Midlothian, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.