| Tree Of Life Counseling, Lcsw, Pllc | |
|
95 Allens Creek Road Bld 1 Suite 250 Rochester NY 14618 | |
| (585) 364-2050 | |
| (585) 625-0077 |
| Full Name | Tree Of Life Counseling, Lcsw, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 95 Allens Creek Road, Rochester, New York |
| Authorized Official Name and Position | Mary Z Macleod (OWNER) |
| Authorized Official Contact | 5853642050 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tree Of Life Counseling, Lcsw, Pllc 95 Allens Creek Road Bld 1 Suite 250 Rochester NY 14618 Ph: (585) 364-2050 | Tree Of Life Counseling, Lcsw, Pllc 95 Allens Creek Road Bld 1 Suite 250 Rochester NY 14618 Ph: (585) 364-2050 |
| NPI Number | 1639718034 |
|---|---|
| Provider Enumeration Date | 01/02/2020 |
| Last Update Date | 07/09/2020 |
| Certification Date | 07/09/2020 |
| Medicare PECOS PAC ID | 8426489519 |
|---|---|
| Medicare Enrollment ID | O20200505000669 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639718034 | NPI | - | NPPES |
| 1336529973 | Other | NY | HMO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Mary Zagari Kampf Macleod |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336529973 PECOS PAC ID: 2567714496 Enrollment ID: I20181004000391 |
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