| Willow Counseling Services, LLC | |
|
562 N Dixie Blvd # B4 Radcliff KY 40160-1366 | |
| (270) 317-1318 | |
| Not Available |
| Full Name | Willow Counseling Services, LLC |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 562 N Dixie Blvd # B4, Radcliff, Kentucky |
| Authorized Official Name and Position | Amanda Lacefield (MANAGING MEMBER/THERAPIST) |
| Authorized Official Contact | 2703637513 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Willow Counseling Services, LLC 1019 Fairview Ave Radcliff KY 40160-2407 | Willow Counseling Services, LLC 562 N Dixie Blvd # B4 Radcliff KY 40160-1366 Ph: (270) 317-1318 |
| NPI Number | 1710494414 |
|---|---|
| Provider Enumeration Date | 01/03/2018 |
| Last Update Date | 06/08/2022 |
| Certification Date | 06/08/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710494414 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (NU) | Primary |
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