=====================================================
General NPI Number Information
=====================================================
NPI Number | 1407603863
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | TREEHOUSE COUNSELING LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/03/2024
-----------------------------------------------------
Last Update Date | 04/14/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1255 S MARKET ST STE 203
-----------------------------------------------------
City | ELIZABETHTOWN
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 17022-2903
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 814-244-6863
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1255 S MARKET ST STE 203
-----------------------------------------------------
City | ELIZABETHTOWN
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 17022-2903
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 814-244-6863
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER/THERAPIST
-----------------------------------------------------
Name | KATHLEEN WARNER
-----------------------------------------------------
Credential | LCSW
-----------------------------------------------------
Telephone | 814-244-6863
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YM0800X
-----------------------------------------------------
Taxonomy Name | Mental Health Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------