Provider Demographics
NPI:1841863602
Name:TIMBERLAND COUNSELING LLC
Entity type:Organization
Organization Name:TIMBERLAND COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:R
Authorized Official - Last Name:GLASSER
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:612-817-1925
Mailing Address - Street 1:2456 THERESEA LN
Mailing Address - Street 2:
Mailing Address - City:GRAND JCT
Mailing Address - State:CO
Mailing Address - Zip Code:81505-4804
Mailing Address - Country:US
Mailing Address - Phone:612-817-1925
Mailing Address - Fax:970-245-3216
Practice Address - Street 1:887 CANYON BROOK ST
Practice Address - Street 2:
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81505-8905
Practice Address - Country:US
Practice Address - Phone:612-817-1925
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-20
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty