Provider Demographics
NPI:1679345938
Name:TREERAIN BEHAVIORAL HEALTH LLC
Entity Type:Organization
Organization Name:TREERAIN BEHAVIORAL HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:TUSIIME
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-770-4914
Mailing Address - Street 1:15125 HIGHWAY 99 STE A
Mailing Address - Street 2:
Mailing Address - City:LYNNWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98087-2319
Mailing Address - Country:US
Mailing Address - Phone:425-777-0184
Mailing Address - Fax:
Practice Address - Street 1:15125 HIGHWAY 99 STE A
Practice Address - Street 2:
Practice Address - City:LYNNWOOD
Practice Address - State:WA
Practice Address - Zip Code:98087-2319
Practice Address - Country:US
Practice Address - Phone:425-777-0184
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-30
Last Update Date:2023-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health