Provider Demographics
NPI:1700200805
Name:LIVING TREE COUNSELING
Entity Type:Organization
Organization Name:LIVING TREE COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:TODD
Authorized Official - Last Name:STRAWN
Authorized Official - Suffix:
Authorized Official - Credentials:MPA
Authorized Official - Phone:330-575-5300
Mailing Address - Street 1:2701 CLEVELAND AVE NW
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44709-3362
Mailing Address - Country:US
Mailing Address - Phone:330-575-5300
Mailing Address - Fax:866-823-0744
Practice Address - Street 1:2701 CLEVELAND AVE NW
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44709-3362
Practice Address - Country:US
Practice Address - Phone:330-575-5300
Practice Address - Fax:866-823-0744
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-10
Last Update Date:2014-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE0601018251S00000X
OHLCDC0812793251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health