| Willowroot Wellness Collective, Llc | |
|
21 Shady Creek Ln Amelia OH 45102-1765 | |
| (513) 739-0289 | |
| (513) 739-0289 |
| Full Name | Willowroot Wellness Collective, Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 21 Shady Creek Ln, Amelia, Ohio |
| Authorized Official Name and Position | Katherine Lee Swope (OWNER) |
| Authorized Official Contact | 5137390289 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Willowroot Wellness Collective, Llc 21 Shady Creek Ln Amelia OH 45102-1765 Ph: (513) 739-0289 | Willowroot Wellness Collective, Llc 21 Shady Creek Ln Amelia OH 45102-1765 Ph: (513) 739-0289 |
| NPI Number | 1326971912 |
|---|---|
| Provider Enumeration Date | 06/04/2026 |
| Last Update Date | 06/04/2026 |
| Certification Date | 06/04/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326971912 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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