TREE OF LIFE COUNSELING, PLLC - NPI 1477819712

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YP2500X and a focus in Professional.

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About Tree Of Life Counseling, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TREE OF LIFE COUNSELING, PLLC (NPI 1477819712) is a healthcare organization registered as a professional in Greensboro, North Carolina and active in the NPI registry since April 2012. The organization maintains a secondary practice location in Jacksonville and lists Shana Gordon Waltman, Owner, as its authorized official.

NPPES Registry Identity

NPI1477819712

Entity TypeOrganization

Primary Taxonomy101YP2500X

Legal Business NameTREE OF LIFE COUNSELING, PLLC

Location Address5 OAK BRANCH DR STE HGreensboro, NC 27407-2157

Mailing Address5 Oak Branch Dr Ste HGreensboro, NC 27407-2157 · (336) 288-9190 · Fax (336) 450-4318

Phone(336) 288-9190

Fax(336) 450-4318

Organization SubpartNo

Authorized OfficialShana Gordon WaltmanOwner · (336) 288-9190

Enumeration DateApril 10, 2012

Last NPPES UpdateAugust 26, 20257 updates tracked since enumeration

NPPES CertifiedAugust 26, 2025

✔ NPI 1477819712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in NC · 7308

Also ListedCounselorTaxonomy 101Y00000X

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X

Also ListedMarriage & Family TherapistTaxonomy 106H00000X

Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X

5 OAK BRANCH DR STE H, Greensboro, NC 27407

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Secondary Practice Location 1

Location 12 DeWitt StJacksonville, NC 28540-5649 · Phone (910) 333-1004 · Fax (336) 450-4318

Other Identifiers 1

OtherS7803NC · North Carolina Board Of Licensed Clinical Mental Health Counselors

Group Practice 2

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.Insurance ›

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARISSA JEANNE WILSON MSW, LCSWA

Social Worker (Clinical)