Healthcare Provider Details

I. General information

NPI: 1427854405
Provider Name (Legal Business Name): TREE OF LIFE COUNSELING, A LICENSED CLINICAL SOCIAL WORKER CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/20/2025
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16192 SISKIYOU RD STE 3
APPLE VALLEY CA
92307-1316
US

IV. Provider business mailing address

16192 SISKIYOU RD STE 3
APPLE VALLEY CA
92307-1316
US

V. Phone/Fax

Practice location:
  • Phone: 760-983-9269
  • Fax: 760-513-9919
Mailing address:
  • Phone: 760-983-9269
  • Fax: 760-513-9919

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: MRS. WENDI MARIE BAPTIST-MCGEHEE
Title or Position: OWNER
Credential: LMFT
Phone: 760-983-9269