| Willow Tree Therapy Llc | |
|
1819 11th Str. Great Bend KS 67530-4511 | |
| (620) 603-6257 | |
| (620) 603-6259 |
| Full Name | Willow Tree Therapy Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1819 11th Str., Great Bend, Kansas |
| Authorized Official Name and Position | Robin Rayne Abercrombie (OWNER/THERAPIST) |
| Authorized Official Contact | 6206036257 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Willow Tree Therapy Llc 1819 11th Str. Great Bend KS 67530-4511 Ph: (620) 603-6257 | Willow Tree Therapy Llc 1819 11th Str. Great Bend KS 67530-4511 Ph: (620) 603-6257 |
| NPI Number | 1063967008 |
|---|---|
| Provider Enumeration Date | 08/19/2016 |
| Last Update Date | 10/27/2020 |
| Certification Date | 10/27/2020 |
| Medicare PECOS PAC ID | 4082980875 |
|---|---|
| Medicare Enrollment ID | O20171023002189 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063967008 | NPI | - | NPPES |
| 200629070A | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 4222 (Kansas) | Primary |
| Provider Name | Robin R Abercrombie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912130626 PECOS PAC ID: 6800039033 Enrollment ID: I20130906000640 |
Center For Counseling And Consultation Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 5815 Broadway Ave, Great Bend, KS 67530 Phone: 620-792-2544 Fax: 620-792-7052 | |
Avenues For Change Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 809 S Patton Rd, Great Bend, KS 67530 Phone: 620-796-2206 Fax: 866-288-1782 | |
Mindful Healing Solutions Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2008 11th St, Great Bend, KS 67530 Phone: 620-796-2788 | |
The Center For Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5815 Broadway, Great Bend, KS 67530 Phone: 620-792-2544 Fax: 620-792-4323 | |
Hhr Therapeutic Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 155 Se 1 Ave, Great Bend, KS 67530 Phone: 620-792-5173 | |
Still Waters Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1819 11th St, Great Bend, KS 67530 Phone: 785-259-5845 Fax: 620-603-6259 |