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General NPI Number Information
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NPI Number | 1902743792
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Entity Type | Organization
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Legal Business Name | TREE OF LIFE COUNSELING SERVICES, LLC
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Dates
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Enumeration Date | 04/30/2026
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Last Update Date | 04/30/2026
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Provider Practice Location Address
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Address Line | 140 WADSWORTH RD
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City | WADSWORTH
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State | OH
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Zip | 44281-9503
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Country | US
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Telephone | 330-812-9888
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Fax | 330-334-2235
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Provider Business Mailing Address
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Address Line | 140 WADSWORTH RD
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City | WADSWORTH
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State | OH
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Zip | 44281-9503
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Country | US
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Telephone | 330-812-9888
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Fax | 330-334-2235
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Authorized Official
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Title or Position | PROVIDER
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Name | MICHELLE A WATKINS-MALEK
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Credential | MA, LPCC
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Telephone | 330-812-9888
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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