TREE OF LIFE CENTER (NPI# 1639310477) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639310477 |
| Entity Type | Organization |
| Organization Name | TREE OF LIFE CENTER |
| Practice Address |
234 W Florida St Milwaukee WI 53204-1659 |
| Practice Telephone | 4145104791 |
| Practice Fax Number | 4143837050 |
| Mailing Fax Number | 4143837050 |
| Enumeration Date | 2009-03-06 |
| Last Update Date | 2009-09-04 |
| Authorized Official Name | DR. LORRAINE CECILIA GRAMLING (PSYCHOLOGIST) |
| Authorized Official Telephone | 4145104791 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
802-057 | WI | Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | TREE OF LIFE CENTER, INC. | 15 Commerce Way,seekonk Square, Seekonk, MA 02771 |
| Street Address |
234 W FLORIDA ST |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53204-1659 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942674528 | Monica Roman | Counselor | 234 W Florida St, Milwaukee, WI 53204-1659 | 2015-11-19 |
| 1700116555 | Maria Jean Bishop | Counselor | 234 W Florida St, Milwaukee, WI 53204-1659 | 2009-12-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528423290 | Blue Ribbon Healthcare LLC | Health Maintenance Organization | 1743 South1st Street, Milwaukee, WI 53204 | 2015-12-23 |
| 1215336599 | Marsha Vann | Counselor | 1028 N 9th St, Milwaukee, WI 53204 | 2014-08-22 |
| 1891109260 | Melissa Bendever | Counselor | 1111 South 6th Street, Milwaukee, WI 53204 | 2014-06-13 |
| 1942585823 | Theresa Marie Hintze | Counselor | 600 W Virginia Atlas Ste 203, Milwaukee, WI 53204 | 2011-10-11 |
| 1922395151 | Palmas & Ram Rudra LLC | Chiropractor | 1247 S. Cesar E. Chaves Drive, Milwaukee, WI 53204 | 2011-07-08 |
| 1225355183 | Victoria A White | Family Medicine | 16th Street Community Health Center, 1032 S Cesar E. Chavez Drive, Milwaukee, WI 53204 | 2010-04-30 |
| 1174850499 | Dnt Associates Inc. | Dentist | 710 W. Historic Mitchell St., Mitchell Street Dental, Milwaukee, WI 53204 | 2009-11-06 |
| 1851559124 | Michael L Kitzinger | Social Worker | 1201 W Historic Mitchell St, Milwaukee, WI 53204 | 2008-05-23 |
| 1083778781 | Douglas Ralph Higbie | Psychologist | 634 W Mitchell St, Milwaukee, WI 53204 | 2006-12-20 |
| 1013019413 | Romeo C Lo Md | Internal Medicine | 1672 S 9th St, 2nd Floor, Milwaukee, WI 53204 | 2006-09-05 |
| Find all providers in zip 53204 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730530239 | Home Away From Home Living Services LLC | Clinic/Center | 8127 W Herbert Ave, Milwaukee, WI 53218-3632 | 2016-06-26 |
| 1952611998 | Jon Gudeman Md LLC | Clinic/Center | 2808 N Shepard Ave, Milwaukee, WI 53211-3432 | 2010-10-08 |
| 1336296722 | K. Kwang Soo, M.d., S.c. | Clinic/Center | 2691 N Lake Dr, Milwaukee, WI 53211-3838 | 2007-01-05 |
| 1235112020 | Catholic Charities of The Archdiocese of Milwaukee Inc | Clinic/Center | 7635 W Oklahoma Ave, #104, Milwaukee, WI 53219-3600 | 2005-11-25 |
| 1205473329 | Life Enhanced Counseling Services | Clinic/Center | 5330 W Villard Ave, Milwaukee, WI 53218-4345 | 2019-12-09 |
| 1700443744 | Deep Healing LLC | Clinic/Center | 1841 N Prospect Ave, Milwaukee, WI 53202-1933 | 2019-05-24 |
| 1124682174 | Milwaukee Psychiatry Sc | Clinic/Center | 827 N Cass St # 9, Milwaukee, WI 53202-3908 | 2019-04-25 |
| 1821561747 | Strive Counseling Milwaukee LLC | Clinic/Center | 3970 N Oakland Ave Ste 502, Milwaukee, WI 53211-2265 | 2019-01-03 |
| 1730600412 | Elle Studio & Wellness LLC | Clinic/Center | 106 W Seeboth St Ste 101, Milwaukee, WI 53204-4329 | 2017-07-03 |
| 1538689518 | Inner Compass Counseling, LLC | Clinic/Center | 827 N Cass St, Milwaukee, WI 53202-3908 | 2017-06-21 |
| Find all providers in MILWAUKEE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.