TEA TREE BEHAVIORAL HEALTH & THERAPY LLC (NPI# 1740632827) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740632827 |
| Entity Type | Organization |
| Organization Name | TEA TREE BEHAVIORAL HEALTH & THERAPY LLC |
| Practice Address |
102 S Mckinley Ave Union MO 63084-1814 |
| Mailing Address |
5323 Mirasol Manor Way Eureka MO 63025-2751 |
| Practice Telephone | 6364844371 |
| Mailing Telephone | 6364844371 |
| Enumeration Date | 2016-07-12 |
| Last Update Date | 2016-07-12 |
| Authorized Official Name | AMANDA MARIE GILMAN (CLINICAL SOCIAL WORKER/OWNER) |
| Authorized Official Telephone | 6364844371 |
| Authorized Official Credential | MSW, LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP2500X |
Counselor Specialization: Professional |
2013041575 | MO | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
2013008645 | MO | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
2011028460 | MO | Behavioral Health & Social Service Providers |
| Street Address |
102 S MCKINLEY AVE |
| City | UNION |
| State | MO |
| Zip Code | 63084-1814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407490915 | Megan N Pruett | Counselor | 107 Chesire Lane, Union, MO 63084 | 2019-10-29 |
| 1093297152 | Community Care Center of Union Inc | Skilled Nursing Facility | 1080 Marie Lane, Union, MO 63084 | 2018-09-05 |
| 1437697844 | Sally Lavigne | Behavioral Analyst | 1281 Hwy 47, Union, MO 63084 | 2017-02-06 |
| 1275912107 | Ralph B Smith | Social Worker | 1780 Old Highway 50 E Ste 113, Union, MO 63084 | 2015-05-26 |
| 1659771707 | Whitney Paige Scanlon | Speech-Language Pathologist | 770 Independence Drive, Union, MO 63084 | 2014-08-26 |
| 1487066775 | Helen Overstreet | Massage Therapist | 302 Us Highway 50 West, Suite B, Union, MO 63084 | 2014-05-21 |
| 1093152332 | Katie Henry | Counselor | 1 Par Court, Union, MO 63084 | 2013-05-28 |
| 1437402336 | Rainbow Abilities Center, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 306 W Hwy 50, Union, MO 63084 | 2012-10-17 |
| 1962761866 | George Howard Bergevin | Chiropractor | 405 Us Hwy 50, Ste. 200, Union, MO 63084 | 2012-05-11 |
| 1336478866 | Kristine Marie Posinski | Physical Therapist | 770 Independence Dr, Union, MO 63084 | 2009-12-11 |
| Find all providers in zip 63084 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124628599 | Jp Chrisitian Counseling | Social Worker | 1256 Harding Ave, Union, NJ 07083-3738 | 2020-10-27 |
| 1558972885 | Theracouch | Social Worker | 1892 Manor Dr, Union, NJ 07083-4512 | 2020-08-11 |
| 1689201303 | Mary Lavecchia | Social Worker | 905 Magie Ave, Union, NJ 07083-7737 | 2020-03-24 |
| 1548896806 | Isheaba Ellis | Social Worker | 1892 Manor Dr Apt D, Union, NJ 07083-4512 | 2020-03-19 |
| 1831734888 | Brandy Bousquet | Social Worker | 1065 Buckley Hwy, Union, CT 06076-4802 | 2019-11-14 |
| 1528535911 | Emily Danielle Thoenen | Social Worker | 312 Hickory Field Ct, Union, MO 63084-2761 | 2018-10-24 |
| 1265918577 | Francesca Viola-hamilton | Social Worker | Cooperative Counseling Services, 407 Chestnut St., Union, NJ 07083 | 2018-07-19 |
| 1891285839 | Robert E. West Jr. | Social Worker | 407 Chestnut St., Union, NJ 07083 | 2018-05-15 |
| 1053866129 | Lori Barnett | Social Worker | 626 Chestnut St Fl 2, Union, NJ 07083 | 2016-08-18 |
| 1780049072 | Dorothy Craig | Social Worker | 201 Herndon, Union, SC 29379 | 2015-12-31 |
| Find all providers in UNION | ||||
Please comment or provide details below to improve the information on TEA TREE BEHAVIORAL HEALTH & THERAPY LLC.
| 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.