| 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 - Clinical |
| 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 | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Willow Therapy Services, LLC 233 S Pleasant Grove Blvd Ste 201 Pleasant Grove UT 84062-2878 | 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 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104637768 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | () | Primary |
| 106H00000X | Marriage & Family Therapist | () | Secondary |
| 235Z00000X | Speech-language Pathologist | () | Secondary |
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