| Willa Wellness Center | |
|
755 Baywood Dr Ste 390 Petaluma CA 94954-5511 | |
| (707) 888-7393 | |
| Not Available |
| Full Name | Willa Wellness Center |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 755 Baywood Dr Ste 390, Petaluma, California |
| Authorized Official Name and Position | Ashly Marie Thompson (CEO) |
| Authorized Official Contact | 7078887393 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Willa Wellness Center 755 Baywood Dr Ste 390 Petaluma CA 94954-5511 Ph: (707) 888-7393 | Willa Wellness Center 755 Baywood Dr Ste 390 Petaluma CA 94954-5511 Ph: (707) 888-7393 |
| NPI Number | 1376268227 |
|---|---|
| Provider Enumeration Date | 10/04/2022 |
| Last Update Date | 02/20/2024 |
| Certification Date | 02/20/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376268227 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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