| Willows Way, Inc. | |
|
800 Friedens Rd Saint Charles MO 63303-4159 | |
| (636) 947-6591 | |
| (636) 947-7385 |
| Full Name | Willows Way, Inc. |
|---|---|
| Speciality | Day Training, Developmentally Disabled Services |
| Location | 800 Friedens Rd, Saint Charles, Missouri |
| Authorized Official Name and Position | Francine Nicholson (DIRECTOR OF FINANCE AND OPERATIONS) |
| Authorized Official Contact | 6367570506 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Willows Way, Inc. 800 Friedens Rd Saint Charles MO 63303-4159 Ph: (636) 947-6591 | Willows Way, Inc. 800 Friedens Rd Saint Charles MO 63303-4159 Ph: (636) 947-6591 |
| NPI Number | 1275654923 |
|---|---|
| Provider Enumeration Date | 04/02/2007 |
| Last Update Date | 03/21/2025 |
| Certification Date | 03/21/2025 |
| Medicare PECOS PAC ID | 8921440470 |
|---|---|
| Medicare Enrollment ID | O20240529002322 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275654923 | NPI | - | NPPES |
| 852962604 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 251C00000X | Day Training, Developmentally Disabled Services | (* (Not Available)) | Primary |
| Provider Name | Michelle Riley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376323873 PECOS PAC ID: 6709228257 Enrollment ID: I20240529002450 |
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