MEDICARE: HEART TREE, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist

General Provider Information

NPI Number	:	1578450441
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEART TREE, LLC

Provider Business Mailing Address
First Line	:	25 CANDEE HILL RD
Second Line	:
City	:	WATERTOWN
State	:	CT
Zip	:	06795-3101
Country	:	US
Telephone Number	:	860-506-6133
Fax Number	:

Provider Business Practice Location Address
First Line	:	25 CANDEE HILL RD
Second Line	:
City	:	WATERTOWN
State	:	CT
Zip	:	06795-3101
Country	:	US
Telephone Number	:	860-506-6133
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JEN KEMPF
Credential	:	LMFT
Telephone Number	:	860-202-6133

Provider Enumeration Date	:	06/23/2025
Last Update Date	:	06/23/2025

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Directions to “HEART TREE, LLC ” Practice Location

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