| Willow Bloom Therapy, Pllc | |
|
35 S Summit St Ypsilanti MI 48197-4747 | |
| (303) 900-2025 | |
| Not Available |
| Full Name | Willow Bloom Therapy, Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 35 S Summit St, Ypsilanti, Michigan |
| Authorized Official Name and Position | Charlotte Harrington (OWNDER) |
| Authorized Official Contact | 3039002025 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Willow Bloom Therapy, Pllc Po Box 8 Littleton CO 80160-0008 Ph: (303) 900-2025 | Willow Bloom Therapy, Pllc 35 S Summit St Ypsilanti MI 48197-4747 Ph: (303) 900-2025 |
| NPI Number | 1144053497 |
|---|---|
| Provider Enumeration Date | 08/22/2024 |
| Last Update Date | 09/20/2024 |
| Certification Date | 09/20/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144053497 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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