Tree of Life Behavioral Health Services, LLC

Primary specialty

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

Legal business name

TREE OF LIFE BEHAVIORAL HEALTH SERVICES, LLC

Practice address

120 N Main St Ste 302
Attleboro, MA 02703-2248

Phone

(781) 414-0099

NPI assigned

Sep 2, 2024

Organization subpart

No

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

Authorized official

Name

Theresa S Bougouneau, LMHC,LADC-1,MCCS

Title

Owner

Phone

(781) 414-0099

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1725235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725235200000",
    "number": "1912731845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 N MAIN ST STE 302",
            "city": "ATTLEBORO",
            "state": "MA",
            "postal_code": "027032248",
            "telephone_number": "781-414-0099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 N MAIN ST STE 302",
            "city": "ATTLEBORO",
            "state": "MA",
            "postal_code": "027032248",
            "telephone_number": "781-414-0099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREE OF LIFE BEHAVIORAL HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-02",
        "last_updated": "2024-09-02",
        "certification_date": "2024-09-02",
        "status": "A",
        "authorized_official_last_name": "BOUGOUNEAU",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "781-414-0099",
        "authorized_official_credential": "LMHC,LADC-1,MCCS"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Ezio Torsiello, FNP
• Andrew Totman
• Brittany Lauren Townsend, NP
• Kathryn Trainor
• Karen Beth Travers, R.D.
• Dillon Trelegan
• Katelin Trinidad, LMHC
• Kyla A Triveri, MSPT
• Truelight Healthcare LLC
• Lulu Tsai, M.D.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Attleboro, MA
• Providers in Attleboro, MA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2024; 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.