Healthcare Provider Details

I. General information

NPI: 1073438222
Provider Name (Legal Business Name): TRESTLE BEHAVIORAL HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/13/2026
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3488 E WHITMAN DR
BOISE ID
83716-5602
US

IV. Provider business mailing address

3488 E WHITMAN DR
BOISE ID
83716-5602
US

V. Phone/Fax

Practice location:
  • Phone: 210-439-9887
  • Fax:
Mailing address:
  • Phone: 210-439-9887
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State

VIII. Authorized Official

Name: LEILA AYERS
Title or Position: OWNER
Credential: IP
Phone: 210-439-9887