Provider Demographics
NPI:1023610292
Name:TREE OF LIFE COUNSELING SERVICES, LLC
Entity type:Organization
Organization Name:TREE OF LIFE COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:BRUCE
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:HATCH
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:970-825-6597
Mailing Address - Street 1:3634 WINDFLOWER CIR
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80918-4538
Mailing Address - Country:US
Mailing Address - Phone:970-825-6597
Mailing Address - Fax:719-960-3911
Practice Address - Street 1:3225 TEMPLETON GAP RD STE 103
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80907-8729
Practice Address - Country:US
Practice Address - Phone:970-825-6597
Practice Address - Fax:719-960-3911
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-12
Last Update Date:2024-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)