Healthcare Provider Details

I. General information

NPI: 1285559393
Provider Name (Legal Business Name): TEOCALLI TREATMENT OPTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

321 N MAIN ST STE 4
GUNNISON CO
81230-2403
US

IV. Provider business mailing address

321 N MAIN ST STE 4
GUNNISON CO
81230-2403
US

V. Phone/Fax

Practice location:
  • Phone: 970-641-3711
  • Fax: 970-546-0150
Mailing address:
  • Phone: 970-641-3711
  • Fax: 970-546-0150

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State

VIII. Authorized Official

Name: HEATHER PETERSON
Title or Position: OWNER
Credential: LAC
Phone: 720-261-4354