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General NPI Number Information
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NPI Number | 1669122537
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Entity Type | Organization
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Legal Business Name | TREE OF L IFE THERAPY & LIFE COACHING, LLC
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Dates
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Enumeration Date | 03/24/2022
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Last Update Date | 07/02/2025
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Provider Practice Location Address
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Address Line | 7027 OLD MADISON PIKE NW BLDG 108
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City | HUNTSVILLE
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State | AL
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Zip | 35806-2869
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Country | US
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Telephone | 256-874-3692
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Fax | 866-378-2373
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Provider Business Mailing Address
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Address Line | 1013 ORVIL SMITH RD
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City | HARVEST
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State | AL
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Zip | 35749-9045
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Country | US
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Telephone | 256-874-3692
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Fax | 256-285-4368
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Authorized Official
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Title or Position | OWNER
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Name | MS. PATRICIA A CORBITT
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Credential | LICSW
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Telephone | 256-874-3692
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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