Provider Demographics
NPI:1366010027
Name:TREE OF LIFE COUNSELING
Entity Type:Organization
Organization Name:TREE OF LIFE COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:DR
Authorized Official - First Name:LEE
Authorized Official - Middle Name:A
Authorized Official - Last Name:DORSEY
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:251-422-6592
Mailing Address - Street 1:PO BOX 6363
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36660-0363
Mailing Address - Country:US
Mailing Address - Phone:251-422-6592
Mailing Address - Fax:833-638-0792
Practice Address - Street 1:1701 GOVERNMENT ST
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36604-1103
Practice Address - Country:US
Practice Address - Phone:251-422-6592
Practice Address - Fax:833-638-0792
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-17
Last Update Date:2021-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)