| Willow Tree Wellness, Llc | |
|
20 Foundry St Ste 230 Concord NH 03301-5419 | |
| (603) 321-9265 | |
| Not Available |
| Full Name | Willow Tree Wellness, Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 20 Foundry St Ste 230, Concord, New Hampshire |
| Authorized Official Name and Position | Teresa Frederick (OWNER) |
| Authorized Official Contact | 6033219265 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Willow Tree Wellness, Llc 20 Foundry St Ste 230 Concord NH 03301-5419 Ph: () - | Willow Tree Wellness, Llc 20 Foundry St Ste 230 Concord NH 03301-5419 Ph: (603) 321-9265 |
| NPI Number | 1942052766 |
|---|---|
| Provider Enumeration Date | 04/04/2024 |
| Last Update Date | 04/04/2024 |
| Certification Date | 04/04/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942052766 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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