Provider Demographics
NPI:1346404613
Name:THE TREE OF LIFE MINISTRIES
Entity Type:Organization
Organization Name:THE TREE OF LIFE MINISTRIES
Other - Org Name:INSTITUTE FOR CHILD & FAMILY DEVELOPMENT-ARIZONA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:NORMA
Authorized Official - Middle Name:GAIL
Authorized Official - Last Name:WILLIAMS-MCCARTY
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW, THM
Authorized Official - Phone:480-755-5553
Mailing Address - Street 1:1921 S ALMA SCHOOL RD
Mailing Address - Street 2:SUITE 315
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85210-3036
Mailing Address - Country:US
Mailing Address - Phone:480-755-5553
Mailing Address - Fax:480-755-2199
Practice Address - Street 1:1921 S ALMA SCHOOL RD
Practice Address - Street 2:SUITE 315
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85210-3036
Practice Address - Country:US
Practice Address - Phone:480-755-5553
Practice Address - Fax:480-755-2199
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-15
Last Update Date:2010-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLMSW 9918251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health