Tree of Life Therapy LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

TREE OF LIFE THERAPY LLC

Practice address

47 Water St Ste 202
Mystic, CT 06355-2573

Phone

(860) 608-5202

NPI assigned

May 17, 2019

Last updated

May 17, 2019By 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

Janice Waid, LMFTNPI 1013322833

Title

Marriage and Family Therapist

Phone

(860) 608-5202

Specialties & licenses 1

Addresses

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.

• Janice Waid, MFT

  • Marriage & Family Therapist
  • New London, CT
  • NPI 1013322833
  NPD Authorized official

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

{
    "created_epoch": "1558051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558051200000",
    "number": "1801452560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "347 OLD EVARTS LN",
            "city": "MYSTIC",
            "state": "CT",
            "postal_code": "063552161",
            "telephone_number": "860-608-5202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 WATER ST STE 202",
            "city": "MYSTIC",
            "state": "CT",
            "postal_code": "063552573",
            "telephone_number": "860-608-5202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREE OF LIFE THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-17",
        "last_updated": "2019-05-17",
        "status": "A",
        "authorized_official_last_name": "WAID",
        "authorized_official_first_name": "JANICE",
        "authorized_official_title_or_position": "MARRIAGE AND FAMILY THERAPIST",
        "authorized_official_telephone_number": "860-608-5202",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandy Zhang Thorpe, APRN
• Thriving Lives, LLC
• David L Tinklepaugh, MD
• Total Vision-Eye Health Center, LLC
• Ann Traeger-Spees, PT
• Jonathan G. Tuma, MMT, CKTP
• Sally M Vail, D.D.S.
• Kasey McKenzie Vallee, OTR/L
• Value in Prevention of Connecticut PLLC
• Tracy M Van Vught, P.T.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Mystic, CT
• Providers in Mystic, CT by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 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.