| Willow Birch Therapy, Llc | |
|
5224 W Darbee Rd Fairgrove MI 48733-9764 | |
| (307) 220-8372 | |
| Not Available |
| Full Name | Willow Birch Therapy, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 5224 W Darbee Rd, Fairgrove, Michigan |
| Authorized Official Name and Position | Chantel Windy (OWNER, CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 3072208372 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Willow Birch Therapy, Llc 5224 W Darbee Rd Fairgrove MI 48733-9764 Ph: (307) 220-8372 | Willow Birch Therapy, Llc 5224 W Darbee Rd Fairgrove MI 48733-9764 Ph: (307) 220-8372 |
| NPI Number | 1093441917 |
|---|---|
| Provider Enumeration Date | 07/25/2022 |
| Last Update Date | 02/02/2023 |
| Certification Date | 02/02/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093441917 | NPI | - | NPPES |
| 6801114851 | Other | MI | LMSW |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |