Provider Demographics
NPI:1962080572
Name:TREELINE THERAPY, LLC
Entity type:Organization
Organization Name:TREELINE THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOTHERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:PEIPER
Authorized Official - Middle Name:H
Authorized Official - Last Name:KIRKENDOLL
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LPC
Authorized Official - Phone:970-596-6979
Mailing Address - Street 1:PO BOX 3808
Mailing Address - Street 2:
Mailing Address - City:TELLURIDE
Mailing Address - State:CO
Mailing Address - Zip Code:81435-3808
Mailing Address - Country:US
Mailing Address - Phone:970-596-6979
Mailing Address - Fax:
Practice Address - Street 1:234 N WILLOW STREET
Practice Address - Street 2:
Practice Address - City:TELLURIDE
Practice Address - State:CO
Practice Address - Zip Code:81435-3808
Practice Address - Country:US
Practice Address - Phone:970-596-6979
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-02
Last Update Date:2021-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health