Provider Demographics
NPI:1811254204
Name:DREAMTREE ENTERPRISES, L.L.C.
Entity type:Organization
Organization Name:DREAMTREE ENTERPRISES, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MARTHA
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:SPLETTSTOESSER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:804-836-5276
Mailing Address - Street 1:1408 HIGHWAY 90 STE 6
Mailing Address - Street 2:
Mailing Address - City:GAUTIER
Mailing Address - State:MS
Mailing Address - Zip Code:39553-5456
Mailing Address - Country:US
Mailing Address - Phone:228-239-4193
Mailing Address - Fax:228-205-2918
Practice Address - Street 1:1408 HIGHWAY 90 STE 6
Practice Address - Street 2:
Practice Address - City:GAUTIER
Practice Address - State:MS
Practice Address - Zip Code:39553-5456
Practice Address - Country:US
Practice Address - Phone:228-205-2918
Practice Address - Fax:228-205-2918
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-23
Last Update Date:2023-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health