Healthcare Provider Details

I. General information

NPI: 1639084403
Provider Name (Legal Business Name): TREE OF LIFE COUNSELING COACHING CONSULTING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1125 JESSICA CT
CORVALLIS MT
59828-9313
US

IV. Provider business mailing address

1125 JESSICA CT
CORVALLIS MT
59828-9313
US

V. Phone/Fax

Practice location:
  • Phone: 406-298-2724
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: ASHLEY D BAUGUS
Title or Position: OWNER PSYCHOTHERAPIST
Credential:
Phone: 406-214-9013