Provider Demographics
NPI:1588377808
Name:FIG TREE COUNSELING LLC
Entity type:Organization
Organization Name:FIG TREE COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:R
Authorized Official - Last Name:WOODMANSEE
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:765-400-3678
Mailing Address - Street 1:11209 EAGLE DR
Mailing Address - Street 2:
Mailing Address - City:KOKOMO
Mailing Address - State:IN
Mailing Address - Zip Code:46901-9735
Mailing Address - Country:US
Mailing Address - Phone:937-243-9527
Mailing Address - Fax:
Practice Address - Street 1:1539 E 100 N
Practice Address - Street 2:
Practice Address - City:KOKOMO
Practice Address - State:IN
Practice Address - Zip Code:46901-3413
Practice Address - Country:US
Practice Address - Phone:765-400-3678
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-02
Last Update Date:2023-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)