| Willow Tree Counseling Llc | |
|
510 Main St Gorham ME 04038-1339 | |
| (207) 216-2118 | |
| Not Available |
| Full Name | Willow Tree Counseling Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 510 Main St, Gorham, Maine |
| Authorized Official Name and Position | Rebecca Lynn Paschal (OWNER/CLINICIAN) |
| Authorized Official Contact | 3022162118 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Willow Tree Counseling Llc 688 River Rd Hollis Center ME 04042-3518 Ph: (207) 216-2118 | Willow Tree Counseling Llc 510 Main St Gorham ME 04038-1339 Ph: (207) 216-2118 |
| NPI Number | 1083412365 |
|---|---|
| Provider Enumeration Date | 03/04/2025 |
| Last Update Date | 03/04/2025 |
| Certification Date | 03/04/2025 |
| Medicare PECOS PAC ID | 5890218432 |
|---|---|
| Medicare Enrollment ID | O20250325001316 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083412365 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Rebecca Paschal |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1336357516 PECOS PAC ID: 6709309651 Enrollment ID: I20250401001659 |
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