| Willow Tree Therapy Services Llc | |
|
19 W Macclenny Ave Ste 111 Macclenny FL 32063-2086 | |
| (904) 349-5299 | |
| Not Available |
| Full Name | Willow Tree Therapy Services Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 19 W Macclenny Ave Ste 111, Macclenny, Florida |
| Authorized Official Name and Position | Amanda N Bailey (OWNER) |
| Authorized Official Contact | 4233371635 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Willow Tree Therapy Services Llc 19 W Macclenny Ave Ste 111 Macclenny FL 32063-2086 Ph: (904) 349-5299 | Willow Tree Therapy Services Llc 19 W Macclenny Ave Ste 111 Macclenny FL 32063-2086 Ph: (904) 349-5299 |
| NPI Number | 1134751753 |
|---|---|
| Provider Enumeration Date | 02/11/2020 |
| Last Update Date | 02/11/2020 |
| Certification Date | 02/11/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134751753 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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