Provider Demographics
NPI:1134809544
Name:LEAVES OF THE TREE, LLC
Entity type:Organization
Organization Name:LEAVES OF THE TREE, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ART THERAPIST, COUNSELOR, OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ADRIANNE
Authorized Official - Middle Name:N
Authorized Official - Last Name:SNYDER
Authorized Official - Suffix:
Authorized Official - Credentials:MA, ATR-BC, LPCC
Authorized Official - Phone:330-249-3004
Mailing Address - Street 1:3181 ANGLETERRE BLVD
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44312-5005
Mailing Address - Country:US
Mailing Address - Phone:330-265-8915
Mailing Address - Fax:
Practice Address - Street 1:4275 FULTON DR NW
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44718-2821
Practice Address - Country:US
Practice Address - Phone:330-249-3004
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-20
Last Update Date:2024-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt TherapistGroup - Multi-Specialty