Provider Demographics
NPI:1285497545
Name:RESOLUTION PEAK COUNSELING
Entity type:Organization
Organization Name:RESOLUTION PEAK COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:
Authorized Official - Last Name:KLEISLER
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, LAC, MAC, ACS
Authorized Official - Phone:720-534-1875
Mailing Address - Street 1:4245 FLORENTINE DR
Mailing Address - Street 2:
Mailing Address - City:LONGMONT
Mailing Address - State:CO
Mailing Address - Zip Code:80503-6485
Mailing Address - Country:US
Mailing Address - Phone:720-534-1875
Mailing Address - Fax:720-204-7266
Practice Address - Street 1:1079 S HOVER ST STE 200
Practice Address - Street 2:
Practice Address - City:LONGMONT
Practice Address - State:CO
Practice Address - Zip Code:80501-7924
Practice Address - Country:US
Practice Address - Phone:720-819-6133
Practice Address - Fax:720-204-7266
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-31
Last Update Date:2024-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1477709954OtherINDIVIDUAL NPI