Provider Demographics
NPI:1952038986
Name:TREEHOUSE SUPPORT SERVICES
Entity Type:Organization
Organization Name:TREEHOUSE SUPPORT SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:MICHELE
Authorized Official - Last Name:DORN-DEASY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:360-348-6414
Mailing Address - Street 1:464 COMMON ST # 106
Mailing Address - Street 2:
Mailing Address - City:BELMONT
Mailing Address - State:MA
Mailing Address - Zip Code:02478-2704
Mailing Address - Country:US
Mailing Address - Phone:360-348-6414
Mailing Address - Fax:
Practice Address - Street 1:455 WEST STEWART RD
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98226
Practice Address - Country:US
Practice Address - Phone:360-348-6414
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-01
Last Update Date:2022-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health