Healthcare Provider Details
I. General information
NPI: 1356253769
Provider Name (Legal Business Name): THE HEALING TREE COUNSELING AND THERAPEUTIC SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1789 STATE ROUTE 69 N
HARTFORD KY
42347-9020
US
IV. Provider business mailing address
1789 STATE ROUTE 69 N
HARTFORD KY
42347-9020
US
V. Phone/Fax
- Phone: 270-955-0132
- Fax: 270-588-2765
- Phone: 270-955-0132
- Fax: 270-588-2765
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
AMY
N
BEDDOW
Title or Position: OWNER
Credential: MS, LPCC
Phone: 270-955-0132