Willow Tree Counseling, LLC
Social Worker, Clinical in Pensacola, FL. Organization (NPI-2).
NPI number1750848784
StatusActive
Last updated in NPPESJun 26, 2021
Details
- NPI
- 1750848784
- Entity type
- Organization (NPI-2)
- Legal business name
- Willow Tree Counseling, LLC
- Organization subpart
- No
- Enumeration date
- Feb 26, 2019
- Certification date
- Jun 10, 2021
- Last updated
- Jun 26, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – |
Practice location
15 W La Rua StPensacola, FL 32501-3933
Phone 850-206-4845 · Fax 850-665-3288
Mailing address
3620 Goya CtPensacola, FL 32504-4522
Phone 850-206-4845 · Fax 850-438-4649
Authorized official
Donna Watson
Owner/Manager
8502064845
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