Provider Demographics
NPI:1104624816
Name:TWO TREES THERAPY SERVICES, LLC
Entity type:Organization
Organization Name:TWO TREES THERAPY SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO, PSYCHOLOGIST, OT
Authorized Official - Prefix:DR
Authorized Official - First Name:FAYE
Authorized Official - Middle Name:
Authorized Official - Last Name:KOUIMELIS
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD, OTR/L
Authorized Official - Phone:720-500-2062
Mailing Address - Street 1:6860 S YOSEMITE CT STE 2104
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80112-1409
Mailing Address - Country:US
Mailing Address - Phone:720-500-2062
Mailing Address - Fax:
Practice Address - Street 1:6860 S YOSEMITE CT STE 2104
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80112-1409
Practice Address - Country:US
Practice Address - Phone:720-500-2062
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TWO TREES THERAPY SERVICES, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-03-06
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatricsGroup - Multi-Specialty
No2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatricsGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty