| Willow Counseling Center | |
|
1121 E Southeast Loop 323 Ste 103 Tyler TX 75701-9660 | |
| (903) 483-5272 | |
| Not Available |
| Full Name | Willow Counseling Center |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1121 E Southeast Loop 323 Ste 103, Tyler, Texas |
| Authorized Official Name and Position | Denise Hazen (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 9034835272 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Willow Counseling Center 1121 E Southeast Loop 323 Ste 103 Tyler TX 75701-9660 Ph: (903) 483-5272 | Willow Counseling Center 1121 E Southeast Loop 323 Ste 103 Tyler TX 75701-9660 Ph: (903) 483-5272 |
| NPI Number | 1467159350 |
|---|---|
| Provider Enumeration Date | 02/10/2023 |
| Last Update Date | 03/03/2023 |
| Certification Date | 03/03/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467159350 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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