| The Willow Space For Trauma Treatment Llc | |
|
1770 Lancaster Ave Ste 12 Paoli PA 19301-1575 | |
| (484) 442-0832 | |
| Not Available |
| Full Name | The Willow Space For Trauma Treatment Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1770 Lancaster Ave Ste 12, Paoli, Pennsylvania |
| Authorized Official Name and Position | Erin Ziegelmeyer (CO-OWNER) |
| Authorized Official Contact | 5132551546 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Willow Space For Trauma Treatment Llc 1770 Lancaster Ave Ste 12 Paoli PA 19301-1575 Ph: () - | The Willow Space For Trauma Treatment Llc 1770 Lancaster Ave Ste 12 Paoli PA 19301-1575 Ph: (484) 442-0832 |
| NPI Number | 1245033141 |
|---|---|
| Provider Enumeration Date | 03/28/2025 |
| Last Update Date | 03/28/2025 |
| Certification Date | 03/28/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245033141 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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