Tree of Life Wellness PLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

TREE OF LIFE WELLNESS PLC

Practice address

3830 Packard St Ste 230
Ann Arbor, MI 48108-2273

Phone

(734) 890-1158

NPI assigned

Oct 2, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Kristina Leigh Bahrou, M.D.

Title

Owner

Phone

(734) 890-1158

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1569974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569974400000",
    "number": "1790326510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3672 PROSPECT RD",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481059534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3830 PACKARD ST STE 230",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481082273",
            "telephone_number": "734-890-1158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREE OF LIFE WELLNESS PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-02",
        "last_updated": "2019-10-02",
        "status": "A",
        "authorized_official_last_name": "BAHROU",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-890-1158",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Traylor
• Julianne Treadwell
• Marilyn Lorita Treadwell, CRNA
• Marjorie C. Treadwell, MD
• Robert L Treat Jr., CRNA
• Tree Town Consulting PLLC
• Tree Town Pediatric Dentistry PLLC
• Tree Town Therapy PLLC
• Camden Treiber, LLMSW
• Shanley Belle Treleaven, PHD, CCC-SLP, MS

• Primary Care Clinic/Center in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Primary Care Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2019; 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.