=====================================================
General NPI Number Information
=====================================================
NPI Number | 1174432165
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | THOUGHT TREE, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/04/2026
-----------------------------------------------------
Last Update Date | 09/04/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 12055 LOVEGRASS ST
-----------------------------------------------------
City | VENICE
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 34293-2967
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 847-920-7070
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 12055 LOVEGRASS ST
-----------------------------------------------------
City | VENICE
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 34293-2967
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 847-920-7070
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | MEMBER/OWNER
-----------------------------------------------------
Name | CHRISTINE MARIE DIGANGI-KORBEL
-----------------------------------------------------
Credential | LCSW
-----------------------------------------------------
Telephone | 847-920-7070
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1041C0700X
-----------------------------------------------------
Taxonomy Name | Clinical Social Worker
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------