Provider Demographics
NPI:1346013497
Name:THE HEALING TREE LLC
Entity Type:Organization
Organization Name:THE HEALING TREE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:PLADSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:701-730-2742
Mailing Address - Street 1:413 CADDY AVE
Mailing Address - Street 2:
Mailing Address - City:MOORHEAD
Mailing Address - State:MN
Mailing Address - Zip Code:56560-1409
Mailing Address - Country:US
Mailing Address - Phone:701-730-2742
Mailing Address - Fax:
Practice Address - Street 1:530 OAK RIDGE WAY E STE 5
Practice Address - Street 2:
Practice Address - City:WEST FARGO
Practice Address - State:ND
Practice Address - Zip Code:58078-8417
Practice Address - Country:US
Practice Address - Phone:701-404-7756
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-31
Last Update Date:2024-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty