| Willow Therapy Services, Llc | |
|
233 S Pleasant Grove Blvd Ste 201 Pleasant Grove UT 84062-2878 | |
| (801) 753-8193 | |
| Not Available |
| Full Name | Willow Therapy Services, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 233 S Pleasant Grove Blvd Ste 201, Pleasant Grove, Utah |
| Authorized Official Name and Position | Courtney Schneider (SPEECH-LANGUAGE PATHOLOGIST/OWNER) |
| Authorized Official Contact | 3852778685 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Willow Therapy Services, Llc 233 S Pleasant Grove Blvd Ste 201 Pleasant Grove UT 84062-2878 Ph: () - | Willow Therapy Services, Llc 233 S Pleasant Grove Blvd Ste 201 Pleasant Grove UT 84062-2878 Ph: (801) 753-8193 |
| NPI Number | 1104637768 |
|---|---|
| Provider Enumeration Date | 01/14/2025 |
| Last Update Date | 01/14/2025 |
| Certification Date | 01/14/2025 |
| Medicare PECOS PAC ID | 9335660570 |
|---|---|
| Medicare Enrollment ID | O20250305000420 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104637768 | NPI | - | NPPES |
| Provider Name | Jeanna Cunningham |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619445608 PECOS PAC ID: 4385097450 Enrollment ID: I20240125002310 |
| Provider Name | Mariah Frias |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497488480 PECOS PAC ID: 5799206959 Enrollment ID: I20250305000822 |
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