Provider Demographics
NPI:1619985108
Name:LIFE TREE COUNSELING CENTER, INC.
Entity Type:Organization
Organization Name:LIFE TREE COUNSELING CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:CATO
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPC
Authorized Official - Phone:972-234-6634
Mailing Address - Street 1:14679 MIDWAY RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:ADDISON
Mailing Address - State:TX
Mailing Address - Zip Code:75001-3168
Mailing Address - Country:US
Mailing Address - Phone:972-234-6634
Mailing Address - Fax:972-234-6648
Practice Address - Street 1:14679 MIDWAY RD
Practice Address - Street 2:SUITE 200
Practice Address - City:ADDISON
Practice Address - State:TX
Practice Address - Zip Code:75001-3168
Practice Address - Country:US
Practice Address - Phone:972-234-6634
Practice Address - Fax:972-234-6648
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty