TREE OF LIFE MEDICAL AND COUNSELING CENTER (NPI# 1790087450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790087450 |
Entity Type | Organization |
Organization Name | TREE OF LIFE MEDICAL AND COUNSELING CENTER |
Other Organization Name | TLMCC |
Practice Address |
2014 Fairview Blvd Suite 102 Fairview TN 37062-9413 |
Mailing Address |
1215 Chickasaw Dr Brentwood TN 37027-7427 |
Practice Telephone | 6154732611 |
Mailing Telephone | 6154732611 |
Enumeration Date | 2010-11-30 |
Last Update Date | 2010-11-30 |
Authorized Official Name | DR. ANIDOLEE MELVILLE-CHESTER (PRESIDENT) |
Authorized Official Telephone | 6154732611 |
Authorized Official Credential | ED.D |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 251S00000X | Community/Behavioral Health | Agencies | ||
N | 251V00000X | Voluntary or Charitable | Agencies | ||
N | 252Y00000X | Early Intervention Provider Agency | Agencies | ||
N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
TLMCC | Doing Business As Name - Organization |
Street Address |
2014 FAIRVIEW BLVD SUITE 102 |
City | FAIRVIEW |
State | TN |
Zip Code | 37062-9413 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740757764 | Advanced Diagnostic Imaging, PC | Internal Medicine | 2340 Fairview Boulevard, Suite 600d, Fairview, TN 37062 | 2018-10-29 |
1730680414 | Kjk LLC | Pharmacy | 2340 Fairview Blvd. Suite 300, Fairview, TN 37062 | 2018-02-27 |
1992257281 | Amanda Clark | Occupational Therapy Assistant | 7146 Bahne Rd, Fairview, TN 37062 | 2016-11-02 |
1740654458 | Nicolette Stephens | Nurse Practitioner | 7130 New Hope Rd, Fairview, TN 37062 | 2015-11-18 |
1063849875 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 7100 Hopgood Rd, Fairview, TN 37062 | 2013-10-11 |
1710230628 | Phillip Owens | Counselor | 7200 Cumberland Dr, Fairview, TN 37062 | 2012-10-17 |
1013290899 | Zachary Neal Alexander | Counselor | 2595 Fairview Blvd, Fairview, TN 37062 | 2011-09-27 |
1750608113 | Savita Leanne Fanta | Internal Medicine | 2340 Fairview Blvd Ste 600d, Fairview, TN 37062 | 2010-04-26 |
1083818108 | Fairview Medical Center | Family Medicine | 7100 Adams Dr, Fairview, TN 37062 | 2007-06-13 |
1689759516 | Teresa Marie Clark | Dental Assistant | 7218 Birch Bark Drive, Fairview, TN 37062 | 2006-10-26 |
Find all providers in zip 37062 |
Taxonomy Code | 261Q00000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114481561 | Wellcare Family Clinic, Inc. | Clinic/Center | 321 Palo Duro Dr, Fairview, TX 75069-1286 | 2019-01-29 |
1285037416 | Fairview Regional Medical Center | Clinic/Center | 519 E State Rd, Fairview, OK 73737-1458 | 2014-10-02 |
1932345212 | Fairmont Medical Group, Inc. | Clinic/Center | 400 Main Street, Fairview, WV 26570 | 2008-12-17 |
1407034887 | Monongahela Valley Association of Health Center, Inc. | Clinic/Center | 400 Main Street, Fairview, WV 26570 | 2008-02-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689287997 | Asclepius Ai Inc | Clinic/Center | 800 Market St Ste 200, Chattanooga, TN 37402-2677 | 2020-08-26 |
1306459045 | Surgco, Plc | Clinic/Center | 107 Glen Oak Blvd Ste 201a, Hendersonville, TN 37075-3000 | 2020-08-24 |
1780207670 | Neelam Patel Md Inc | Clinic/Center | 276 Warfield Blvd, Clarksville, TN 37043-5952 | 2020-05-26 |
1306468152 | Advanced Spine and Wellness | Clinic/Center | 176 Thompson Ln Ste 102, Nashville, TN 37211-2468 | 2020-05-15 |
1821619560 | Takoma Regional Hospital, Inc. | Clinic/Center | 1021 Coolidge St Ste 5, Greeneville, TN 37743-4692 | 2020-05-05 |
1861013864 | Blue Ridge Medical Management C Orporation | Clinic/Center | 403 Princeton Rd Ste 10, Johnson City, TN 37601-2062 | 2020-04-30 |
1780205013 | Medworx | Clinic/Center | 4822 Old Hickory Blvd, Hermitage, TN 37076-2502 | 2020-04-28 |
1366078669 | Np Cares, LLC | Clinic/Center | 4515 Poplar Ave Ste 131, Memphis, TN 38117-7503 | 2020-03-18 |
1326670555 | East Memphis Urgent Medical Clinic PC | Clinic/Center | 6515 Poplar Ave Ste 106, Memphis, TN 38119-4878 | 2020-02-05 |
1225673395 | The Transformation Doctor, LLC Dba Wellnessmd | Clinic/Center | 3680 S Houston Levee Rd Ste 104, Collierville, TN 38017-9151 | 2019-11-13 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.