TREE OF LIFE MENTAL HEALTH SYSTEMS, LLC


Address: 8400 W. Virginia, #1138, Phoenix, AZ 85037
Phone: (702) 981-1153

TREE OF LIFE MENTAL HEALTH SYSTEMS, LLC (NPI# 1922522242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1922522242
Entity Type Organization
Organization Name TREE OF LIFE MENTAL HEALTH SYSTEMS, LLC
Other Organization Name TREE OF LIFE MENTAL HEALTH SYSTEMS, LLC
Practice Address 8400 W. Virginia
#1138
Phoenix
AZ 85037
Mailing Address 8400 W Virginia Ave Apt 1138
Phoenix
AZ 85037-8370
Practice Telephone (702) 981-1153
Practice Fax Number 7029744555
Mailing Telephone 7029811153
Mailing Fax Number 7029744555
Enumeration Date 2017-07-28
Last Update Date 2018-06-16
Authorized Official Name MR. BRENTON KENDYLE HENDERSON (CO-OWNER)
Authorized Official Telephone 7029811153
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 106S00000X Behavior Technician Behavioral Health & Social Service Providers
Y 251S00000X Community/Behavioral Health Agencies

Other Provider Identifier

State Issuer Identifier Type Code
NV 1609350608 05
NV 1069350608 05

Other Provider/Organization Names

Other Name Type Code
Tree of Life Mental Health Systems, LLC Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1063950608 Tree of Life Mental Health Systems, LLC Community/Behavioral Health 501 S Rancho Dr Ste I62, Las Vegas, NV 89106-4838 2017-02-02

Office Location

Street Address 8400 W. VIRGINIA
#1138
City PHOENIX
State AZ
Zip Code 85037

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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition]

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Competitor

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City PHOENIX
Zip Code 85037

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Dataset Information

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.

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