Tree of Life Healing Center LLC

Primary specialty

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

Legal business name

TREE OF LIFE HEALING CENTER LLC

Practice address

306 Washington St SE
Albuquerque, NM 87108-2735

Phone

(505) 859-9559

NPI assigned

Nov 27, 2023

Organization subpart

No

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

Authorized official

Name

Julia Herrera Gardner, LPCC, LADACNPI 1700377868

Title

Owner

Phone

(505) 859-9559

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Locations

Practitioners 1

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

• Julia Herrera Gardner, LPCC, LADAC

  • Professional Counselor
  • Albuquerque, NM
  • NPI 1700377868

  Multi-Specialty

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1701043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1992571327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 WASHINGTON ST SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871082735",
            "telephone_number": "505-859-9559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 WASHINGTON ST SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871082735",
            "telephone_number": "505-859-9559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREE OF LIFE HEALING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-27",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-27",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "JULIA",
        "authorized_official_middle_name": "HERRERA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-859-9559",
        "authorized_official_credential": "LPCC, LADAC"
    },
    "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": []
}

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• Samantha Travierso
• Travis Medical Sales Corporation
• Tree of Life Massage and Wellness LLC
• David M. Treeson, M.D.
• Treetop Therapy NM LLC
• Brooke Trehern
• Lynne Marie Treibel, LISW

• Mental Health Clinic/Center (Including Community Mental Health Center) in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.