Provider Demographics
NPI:1447897087
Name:THE HEALING TREE COUNSELING & CONSULTATION, LLC
Entity type:Organization
Organization Name:THE HEALING TREE COUNSELING & CONSULTATION, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:R
Authorized Official - Last Name:UHRIG
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:732-444-8341
Mailing Address - Street 1:4 AUER CT STE G
Mailing Address - Street 2:
Mailing Address - City:EAST BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08816-5826
Mailing Address - Country:US
Mailing Address - Phone:732-444-8341
Mailing Address - Fax:
Practice Address - Street 1:623 GEORGES RD STE B1
Practice Address - Street 2:
Practice Address - City:NORTH BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08902-3386
Practice Address - Country:US
Practice Address - Phone:732-444-8341
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-03
Last Update Date:2021-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Multi-Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1215365705OtherNPI