| Willow Holistic Center Llc | |
|
45 Berkley Rd Ste 204 Devon PA 19333-1381 | |
| (484) 340-9586 | |
| Not Available |
| Full Name | Willow Holistic Center Llc |
|---|---|
| Speciality | Social Worker |
| Location | 45 Berkley Rd Ste 204, Devon, Pennsylvania |
| Authorized Official Name and Position | Carrie Sensenich (OWNER, PSYCHOTHERAPIST) |
| Authorized Official Contact | 4843409586 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Willow Holistic Center Llc 45 Berkley Rd Ste 204 Devon PA 19333-1381 Ph: (484) 340-9586 | Willow Holistic Center Llc 45 Berkley Rd Ste 204 Devon PA 19333-1381 Ph: (484) 340-9586 |
| NPI Number | 1437706835 |
|---|---|
| Provider Enumeration Date | 08/20/2019 |
| Last Update Date | 08/20/2019 |
| Medicare PECOS PAC ID | 9335572486 |
|---|---|
| Medicare Enrollment ID | O20191204001673 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437706835 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Carrie Lynn Sensenich |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700174307 PECOS PAC ID: 6709149313 Enrollment ID: I20180412002788 |
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