Provider Demographics
NPI:1760350672
Name:THE MOTHER TREE COLLECTIVE LLC
Entity type:Organization
Organization Name:THE MOTHER TREE COLLECTIVE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TAYLOR
Authorized Official - Middle Name:KAMA
Authorized Official - Last Name:WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:346-786-1717
Mailing Address - Street 1:8536 MONTERREY PINE PL
Mailing Address - Street 2:
Mailing Address - City:TOMBALL
Mailing Address - State:TX
Mailing Address - Zip Code:77375-7131
Mailing Address - Country:US
Mailing Address - Phone:346-786-1717
Mailing Address - Fax:
Practice Address - Street 1:8536 MONTERREY PINE PL
Practice Address - Street 2:
Practice Address - City:TOMBALL
Practice Address - State:TX
Practice Address - Zip Code:77375-7131
Practice Address - Country:US
Practice Address - Phone:346-786-1717
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-23
Last Update Date:2025-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Multi-Specialty