Provider Demographics
NPI:1578098208
Name:THE CARING TREE LLC
Entity Type:Organization
Organization Name:THE CARING TREE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF CLINICAL OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:TRENA
Authorized Official - Middle Name:
Authorized Official - Last Name:LOOMANS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, NCC
Authorized Official - Phone:715-301-0667
Mailing Address - Street 1:2804 RIB MOUNTAIN DR STE D
Mailing Address - Street 2:
Mailing Address - City:WAUSAU
Mailing Address - State:WI
Mailing Address - Zip Code:54401-7473
Mailing Address - Country:US
Mailing Address - Phone:715-301-0667
Mailing Address - Fax:715-870-2267
Practice Address - Street 1:2804 RIB MOUNTAIN DR STE D
Practice Address - Street 2:
Practice Address - City:WAUSAU
Practice Address - State:WI
Practice Address - Zip Code:54401-7473
Practice Address - Country:US
Practice Address - Phone:715-301-0667
Practice Address - Fax:715-870-2267
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-01
Last Update Date:2019-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI251S00000X, 261QM0855X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI100003578Medicaid
WI100086714Medicaid
WI39086300Medicaid
WI39137000Medicaid