Provider Demographics
NPI:1154724532
Name:TALL TREE COUNSELING, CONSULTING AND TRAINING, PLLC
Entity type:Organization
Organization Name:TALL TREE COUNSELING, CONSULTING AND TRAINING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:RESPESS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW, LCAS, CCS
Authorized Official - Phone:910-805-3160
Mailing Address - Street 1:PO BOX 7626
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28406-7626
Mailing Address - Country:US
Mailing Address - Phone:910-805-3160
Mailing Address - Fax:910-401-1810
Practice Address - Street 1:925 S KERR AVE STE F5
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28403-4335
Practice Address - Country:US
Practice Address - Phone:910-805-3160
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-30
Last Update Date:2021-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3099-A101YA0400X
NCCOO88271041C0700X
NCCOO20771041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty