Provider Demographics
NPI:1891382552
Name:TREASURE ABILITIES LLC
Entity Type:Organization
Organization Name:TREASURE ABILITIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TEHLA
Authorized Official - Middle Name:
Authorized Official - Last Name:BATES STAYER
Authorized Official - Suffix:
Authorized Official - Credentials:BSW
Authorized Official - Phone:307-421-2465
Mailing Address - Street 1:3406 E PERSHING BLVD
Mailing Address - Street 2:
Mailing Address - City:CHEYENNE
Mailing Address - State:WY
Mailing Address - Zip Code:82001-5916
Mailing Address - Country:US
Mailing Address - Phone:307-514-0307
Mailing Address - Fax:
Practice Address - Street 1:3406 E PERSHING BLVD
Practice Address - Street 2:
Practice Address - City:CHEYENNE
Practice Address - State:WY
Practice Address - Zip Code:82001-5916
Practice Address - Country:US
Practice Address - Phone:307-514-0307
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-29
Last Update Date:2020-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services