Provider Demographics
NPI:1265067482
Name:THE HEALING TREE, LLC
Entity type:Organization
Organization Name:THE HEALING TREE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, LICSW
Authorized Official - Prefix:MS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:CLOUTER
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:978-942-5455
Mailing Address - Street 1:144 MERRIMACK ST STE 305
Mailing Address - Street 2:
Mailing Address - City:LOWELL
Mailing Address - State:MA
Mailing Address - Zip Code:01852-1710
Mailing Address - Country:US
Mailing Address - Phone:978-935-8032
Mailing Address - Fax:
Practice Address - Street 1:144 MERRIMACK ST STE 305
Practice Address - Street 2:
Practice Address - City:LOWELL
Practice Address - State:MA
Practice Address - Zip Code:01852-1710
Practice Address - Country:US
Practice Address - Phone:978-935-8032
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-09
Last Update Date:2021-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty