NPIMap

Organization Active NPI

Tree of Life Medical and Counseling Center

Doing business as Tlmcc

  • Clinic/Center
  • Fairview, TN
National Provider Identifier
1790087450
Registry record updated Nov 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
TREE OF LIFE MEDICAL AND COUNSELING CENTER
Doing business as
Tlmcc
Practice address
2014 Fairview Blvd
Suite 102
Fairview, TN 37062-9413
Phone
(615) 473-2611
NPI assigned
Nov 30, 2010
Last updated
Nov 30, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2010

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

Authorized official

Name
Dr. Anidolee Melville-Chester, ED.DNPI 1508580283
Title
President
Phone
(615) 473-2611

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 6

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X NU
Clinic/Center 261Q00000X NU Primary
Adult Mental Health Clinic/Center 261QM0850X NU
Adolescent and Children Mental Health Clinic/Center 261QM0855X NU
Early Intervention Provider Agency 252Y00000X NU
Community/Behavioral Health Agency 251S00000X NU

Addresses

Primary practice location

2014 Fairview Blvd
Suite 102
Fairview, TN 37062-9413

Mailing address

1215 Chickasaw Dr
Brentwood, TN 37027-7427
Phone (615) 473-2611

Other names 1

  • TLMCC Doing business as

National Provider Directory

National Provider Directory

Locations

2014 Fairview Blvd
Ste 102
Fairview, TN 37062
Phone (615) 473-2611

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1291075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291075200000",
    "number": "1790087450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 CHICKASAW DR",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277427",
            "telephone_number": "615-473-2611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2014 FAIRVIEW BLVD",
            "address_2": "SUITE 102",
            "city": "FAIRVIEW",
            "state": "TN",
            "postal_code": "370629413",
            "telephone_number": "615-473-2611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREE OF LIFE MEDICAL AND COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-30",
        "last_updated": "2010-11-30",
        "status": "A",
        "authorized_official_last_name": "MELVILLE-CHESTER",
        "authorized_official_first_name": "ANIDOLEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-473-2611",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ED.D"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TLMCC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fairview, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2010; 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.