| Tree Of Life Therapy | |
|
398 W Bagley Rd Ste 215 Berea OH 44017-1312 | |
| (216) 282-4749 | |
| Not Available |
| Full Name | Tree Of Life Therapy |
|---|---|
| Speciality | Social Worker |
| Location | 398 W Bagley Rd Ste 215, Berea, Ohio |
| Authorized Official Name and Position | Tracy D Hromadka (LCSW) |
| Authorized Official Contact | 2162824749 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tree Of Life Therapy 34760 Center Ridge Rd Unit 39533 North Ridgeville OH 44039-4722 Ph: (216) 282-4749 | Tree Of Life Therapy 398 W Bagley Rd Ste 215 Berea OH 44017-1312 Ph: (216) 282-4749 |
| NPI Number | 1326783093 |
|---|---|
| Provider Enumeration Date | 04/28/2022 |
| Last Update Date | 02/27/2024 |
| Certification Date | 02/27/2024 |
| Medicare PECOS PAC ID | 0840678769 |
|---|---|
| Medicare Enrollment ID | O20220606002371 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326783093 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Tracy Dawn Hromadka |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740855295 PECOS PAC ID: 1254721392 Enrollment ID: I20211206000394 |
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