| Willow Welch Counseling Clinic Llc | |
|
302 S Main St Malvern AR 72104-3737 | |
| (501) 229-1515 | |
| (888) 337-2305 |
| Full Name | Willow Welch Counseling Clinic Llc |
|---|---|
| Speciality | Social Worker |
| Location | 302 S Main St, Malvern, Arkansas |
| Authorized Official Name and Position | Willow Eve Welch (OWNER) |
| Authorized Official Contact | 8709177290 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Willow Welch Counseling Clinic Llc 263 Thunderbird Loop Traskwood AR 72167-9051 Ph: (870) 917-7290 | Willow Welch Counseling Clinic Llc 302 S Main St Malvern AR 72104-3737 Ph: (501) 229-1515 |
| NPI Number | 1952157950 |
|---|---|
| Provider Enumeration Date | 04/29/2024 |
| Last Update Date | 05/01/2024 |
| Certification Date | 05/01/2024 |
| Medicare PECOS PAC ID | 6305366071 |
|---|---|
| Medicare Enrollment ID | O20250225002102 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952157950 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Willow E Welch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801201454 PECOS PAC ID: 5395021935 Enrollment ID: I20170413000780 |
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