| Willow Integration Llc | |
|
550 S Montezuma St Ste A Prescott AZ 86303-4200 | |
| (404) 590-2039 | |
| Not Available |
| Full Name | Willow Integration Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 550 S Montezuma St Ste A, Prescott, Arizona |
| Authorized Official Name and Position | Lisa Simone Cleary (OWNER) |
| Authorized Official Contact | 6788868027 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Willow Integration Llc 3050 Windsor Dr Prescott AZ 86301-4862 Ph: (678) 886-8027 | Willow Integration Llc 550 S Montezuma St Ste A Prescott AZ 86303-4200 Ph: (404) 590-2039 |
| NPI Number | 1609703586 |
|---|---|
| Provider Enumeration Date | 05/06/2026 |
| Last Update Date | 05/06/2026 |
| Certification Date | 05/06/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609703586 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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