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General NPI Number Information
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NPI Number | 1578098208
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Entity Type | Organization
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Legal Business Name | THE CARING TREE LLC
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Dates
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Enumeration Date | 05/01/2017
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Last Update Date | 09/13/2019
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Provider Practice Location Address
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Address Line | 2804 RIB MOUNTAIN DR STE D
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City | WAUSAU
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State | WI
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Zip | 54401-7473
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Country | US
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Telephone | 715-301-0667
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Fax | 715-870-2267
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Provider Business Mailing Address
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Address Line | 2804 RIB MOUNTAIN DR STE D
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City | WAUSAU
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State | WI
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Zip | 54401-7473
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Country | US
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Telephone | 715-301-0667
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Fax | 715-870-2267
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Authorized Official
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Title or Position | DIRECTOR OF CLINICAL OPERATIONS
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Name | TRENA LOOMANS
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Credential | LPC, NCC
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Telephone | 715-301-0667
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State | WI
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