Provider Demographics
NPI:1851695381
Name:THREE PEAKS COUNSELING, LLC
Entity Type:Organization
Organization Name:THREE PEAKS COUNSELING, LLC
Other - Org Name:MICHELLE TEMPLETON, PH.D.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:TEMPLETON
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:720-425-1111
Mailing Address - Street 1:PO BOX 1224
Mailing Address - Street 2:
Mailing Address - City:EASTLAKE
Mailing Address - State:CO
Mailing Address - Zip Code:80614-1224
Mailing Address - Country:US
Mailing Address - Phone:720-425-1111
Mailing Address - Fax:303-450-1574
Practice Address - Street 1:12021 PENNSYLVANIA ST STE 202
Practice Address - Street 2:
Practice Address - City:THORNTON
Practice Address - State:CO
Practice Address - Zip Code:80241-3152
Practice Address - Country:US
Practice Address - Phone:720-425-1111
Practice Address - Fax:303-450-1574
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-23
Last Update Date:2020-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2934103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty