Tea Tree Behavioral Health & Therapy LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2011028460 Issued in MO

Legal business name

TEA TREE BEHAVIORAL HEALTH & THERAPY LLC

Practice address

102 S McKinley Ave
Union, MO 63084-1814

Phone

(636) 484-4371

NPI assigned

Jul 12, 2016

Organization subpart

No

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

Authorized official

Name

Amanda Marie Gilman, MSW, LCSW

Title

Clinical Social Worker/Owner

Phone

(636) 484-4371

Specialties & licenses 3

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lauren Scheidegger, M.A., L.P.C.

  • Professional Counselor
  • Eureka, MO
  • NPI 1043602774
  NPD (past)

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

{
    "created_epoch": "1468281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468281600000",
    "number": "1740632827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5323 MIRASOL MANOR WAY",
            "city": "EUREKA",
            "state": "MO",
            "postal_code": "630252751",
            "telephone_number": "636-484-4371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 S MCKINLEY AVE",
            "city": "UNION",
            "state": "MO",
            "postal_code": "630841814",
            "telephone_number": "636-484-4371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEA TREE BEHAVIORAL HEALTH & THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-12",
        "last_updated": "2016-07-12",
        "status": "A",
        "authorized_official_last_name": "GILMAN",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER/OWNER",
        "authorized_official_telephone_number": "636-484-4371",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2013041575",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2013008645",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2011028460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sunset Retirement Homes, Inc. (Sunset Health Care Center)
• Swans Investments (Heartland Discount Pba Phcy)
• Swans Investments LTD (Heartland Discount Pharmacy)
• Terry Layne Tanner, D.D.S
• Shaukat A Thanawalla, M.D.
• Emily Danielle Thoenen
• Andrea Don Thomas
• Denise Lynn Thompson, LPC
• Timothy S. Ellefson D.C.,P.C. (Union Chiropractic Center)

• Clinical Social Worker in Union, MO
• Providers in Union, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.