Provider Demographics
NPI:1669212957
Name:TREETOP COUNSELING LLC
Entity type:Organization
Organization Name:TREETOP COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER/OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:GANIECE
Authorized Official - Middle Name:ABAGAIL
Authorized Official - Last Name:DUHAIME
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:801-200-1945
Mailing Address - Street 1:10 SENNEN LN
Mailing Address - Street 2:
Mailing Address - City:BELLA VISTA
Mailing Address - State:AR
Mailing Address - Zip Code:72714-1731
Mailing Address - Country:US
Mailing Address - Phone:801-200-1945
Mailing Address - Fax:
Practice Address - Street 1:1202 NE MCCLAIN RD
Practice Address - Street 2:
Practice Address - City:BENTONVILLE
Practice Address - State:AR
Practice Address - Zip Code:72712-3875
Practice Address - Country:US
Practice Address - Phone:801-200-1945
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-25
Last Update Date:2024-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT1376971267Medicaid