| Shade Tree Wellness Services, A Licensed Clinical Social Worker Co | |
|
1179 Grace Ln S El Monte CA 91733-6802 | |
| (626) 313-6864 | |
| Not Available |
| Full Name | Shade Tree Wellness Services, A Licensed Clinical Social Worker Co |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1179 Grace Ln, S El Monte, California |
| Authorized Official Name and Position | Lashandra Davis (PRESIDENT) |
| Authorized Official Contact | 6263136864 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shade Tree Wellness Services, A Licensed Clinical Social Worker Co 2345 S Atlantic Blvd # 1099 Monterey Park CA 91754-6805 Ph: (626) 313-6864 | Shade Tree Wellness Services, A Licensed Clinical Social Worker Co 1179 Grace Ln S El Monte CA 91733-6802 Ph: (626) 313-6864 |
| NPI Number | 1831955590 |
|---|---|
| Provider Enumeration Date | 02/21/2024 |
| Last Update Date | 02/21/2024 |
| Certification Date | 02/21/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831955590 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |