Provider Demographics
NPI:1578228789
Name:TREASURE VALLEY THERAPY, LLC
Entity Type:Organization
Organization Name:TREASURE VALLEY THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER AND THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:W K
Authorized Official - Last Name:WHITING
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT, MS
Authorized Official - Phone:346-298-3686
Mailing Address - Street 1:207 E 40TH ST TRLR 6
Mailing Address - Street 2:
Mailing Address - City:GARDEN CITY
Mailing Address - State:ID
Mailing Address - Zip Code:83714-6386
Mailing Address - Country:US
Mailing Address - Phone:346-298-3686
Mailing Address - Fax:
Practice Address - Street 1:1655 W FAIRVIEW AVE STE 200A
Practice Address - Street 2:
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83702-5190
Practice Address - Country:US
Practice Address - Phone:346-298-3686
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-02
Last Update Date:2021-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty