Provider Demographics
NPI:1568100493
Name:TREE OF LIFE COUNSELING, LLC
Entity Type:Organization
Organization Name:TREE OF LIFE COUNSELING, LLC
Other - Org Name:JULIE PEPIN, LPC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:PEPIN
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:970-239-3697
Mailing Address - Street 1:PO BOX 3751
Mailing Address - Street 2:
Mailing Address - City:DILLON
Mailing Address - State:CO
Mailing Address - Zip Code:80435-3751
Mailing Address - Country:US
Mailing Address - Phone:970-239-3697
Mailing Address - Fax:
Practice Address - Street 1:256 DILLON RIDGE RD
Practice Address - Street 2:
Practice Address - City:DILLON
Practice Address - State:CO
Practice Address - Zip Code:80435-5405
Practice Address - Country:US
Practice Address - Phone:970-239-3697
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-20
Last Update Date:2023-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO9000186447Medicaid
CO14993903OtherCAQH