Provider Demographics
NPI:1568272813
Name:COMPASSION TREE THERAPY LLC
Entity type:Organization
Organization Name:COMPASSION TREE THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRIVATE PRACTICE OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:PETTINELLI
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:772-485-9857
Mailing Address - Street 1:3553 W CHESTER PIKE
Mailing Address - Street 2:
Mailing Address - City:NEWTOWN SQUARE
Mailing Address - State:PA
Mailing Address - Zip Code:19073-3701
Mailing Address - Country:US
Mailing Address - Phone:772-485-9857
Mailing Address - Fax:
Practice Address - Street 1:7 KATELYNS WAY
Practice Address - Street 2:
Practice Address - City:BROOMALL
Practice Address - State:PA
Practice Address - Zip Code:19008-1436
Practice Address - Country:US
Practice Address - Phone:772-485-9857
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-09
Last Update Date:2025-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health