| Willow Harbor Therapy Center, Llc | |
|
1010 N 12th Ave Ste 321 Pensacola FL 32501-3370 | |
| (850) 776-6297 | |
| Not Available |
| Full Name | Willow Harbor Therapy Center, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1010 N 12th Ave Ste 321, Pensacola, Florida |
| Authorized Official Name and Position | Sabrina Irene Conklin (CEO/OWNER) |
| Authorized Official Contact | 8507766297 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Willow Harbor Therapy Center, Llc 1010 N 12th Ave Ste 321 Pensacola FL 32501-3370 Ph: (850) 776-6297 | Willow Harbor Therapy Center, Llc 1010 N 12th Ave Ste 321 Pensacola FL 32501-3370 Ph: (850) 776-6297 |
| NPI Number | 1295244127 |
|---|---|
| Provider Enumeration Date | 09/22/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295244127 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | SW12317 (Florida) | Primary |
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