Provider Demographics
NPI:1780442152
Name:TREE OF LIFE HEALING CENTRE LLC
Entity type:Organization
Organization Name:TREE OF LIFE HEALING CENTRE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:ROXANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMIREZ
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:956-261-5311
Mailing Address - Street 1:522 S TEXAS BLVD STE 108
Mailing Address - Street 2:
Mailing Address - City:WESLACO
Mailing Address - State:TX
Mailing Address - Zip Code:78596-6287
Mailing Address - Country:US
Mailing Address - Phone:956-261-5311
Mailing Address - Fax:956-999-8456
Practice Address - Street 1:522 S TEXAS BLVD STE 108
Practice Address - Street 2:
Practice Address - City:WESLACO
Practice Address - State:TX
Practice Address - Zip Code:78596-6287
Practice Address - Country:US
Practice Address - Phone:956-261-5311
Practice Address - Fax:956-999-8456
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-11
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty