| Tree Of Life Counseling Services Llc | |
|
1460 Walton Blvd Ste 60 Rochester Hills MI 48309-1729 | |
| (248) 608-4514 | |
| Not Available |
| Full Name | Tree Of Life Counseling Services Llc |
|---|---|
| Speciality | Counselor |
| Location | 1460 Walton Blvd Ste 60, Rochester Hills, Michigan |
| Authorized Official Name and Position | Kristen Elise Phillips (OWNER / AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 2488942246 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tree Of Life Counseling Services Llc 1460 Walton Blvd Ste 60 Rochester Hills MI 48309-1729 Ph: (248) 608-4514 | Tree Of Life Counseling Services Llc 1460 Walton Blvd Ste 60 Rochester Hills MI 48309-1729 Ph: (248) 608-4514 |
| NPI Number | 1023537495 |
|---|---|
| Provider Enumeration Date | 09/16/2017 |
| Last Update Date | 03/28/2025 |
| Certification Date | 03/28/2025 |
| Medicare PECOS PAC ID | 4082156856 |
|---|---|
| Medicare Enrollment ID | O20240607001653 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023537495 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 6401014860 (Michigan) | Primary |
| Provider Name | Kristen Phillips |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275935280 PECOS PAC ID: 8426407495 Enrollment ID: I20231215002244 |
| Provider Name | Thomas Michalos |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346606423 PECOS PAC ID: 3072055847 Enrollment ID: I20240607002188 |
| Provider Name | Salim Yacoub |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033682000 PECOS PAC ID: 8921522962 Enrollment ID: I20250410003398 |
| Provider Name | Carla M Hotts |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336877893 PECOS PAC ID: 7315461274 Enrollment ID: I20250411003270 |
| Provider Name | Deirdra Marie Rodriguez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558901199 PECOS PAC ID: 7214451194 Enrollment ID: I20250412000332 |
| Provider Name | Ashley Kotowski Clayton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992231013 PECOS PAC ID: 4789108580 Enrollment ID: I20250414000689 |
| Provider Name | Courtney Kotenko Richey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669034971 PECOS PAC ID: 6103340922 Enrollment ID: I20250414001298 |
| Provider Name | Craig Gromek |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811594609 PECOS PAC ID: 3779007505 Enrollment ID: I20250414001572 |
| Provider Name | Christine Tibaldi-rice |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699419887 PECOS PAC ID: 2668996497 Enrollment ID: I20250414001632 |
| Provider Name | Brooke Fecteau |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275248338 PECOS PAC ID: 8123542974 Enrollment ID: I20250414001878 |
| Provider Name | Cheyenne Brooks |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225799471 PECOS PAC ID: 9133645567 Enrollment ID: I20250429002489 |
| Provider Name | Rebekah Cathleen Agnew |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598339400 PECOS PAC ID: 5890211122 Enrollment ID: I20250429002645 |
| Provider Name | Jennifer A Peper |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407494354 PECOS PAC ID: 9537685888 Enrollment ID: I20250429002858 |
| Provider Name | Rachel Mannino |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083373674 PECOS PAC ID: 2769908011 Enrollment ID: I20250429002991 |
| Provider Name | Megan Taylor Valore |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871015875 PECOS PAC ID: 3274059548 Enrollment ID: I20250429003336 |
| Provider Name | Shannon Rene Goris |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1285172338 PECOS PAC ID: 2466978754 Enrollment ID: I20250429003897 |
| Provider Name | Michelle Blair Shaw |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427788736 PECOS PAC ID: 6002332392 Enrollment ID: I20250429003927 |
| Provider Name | Jessica Contreras-janette |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1154701134 PECOS PAC ID: 6103342126 Enrollment ID: I20250502000168 |
| Provider Name | Sarah Michele Kuretzky |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134848229 PECOS PAC ID: 9133645161 Enrollment ID: I20250502000386 |
| Provider Name | Karen Broski |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1982250619 PECOS PAC ID: 0143748152 Enrollment ID: I20250514000658 |
| Provider Name | Jennifer Anton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871013813 PECOS PAC ID: 0941710099 Enrollment ID: I20250609001803 |
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