| Willow Ridge Services, Inc | |
|
1002 N 129th Infantry Dr Ste F Joliet IL 60435-3109 | |
| (815) 685-8864 | |
| (815) 823-8461 |
| Full Name | Willow Ridge Services, Inc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1002 N 129th Infantry Dr Ste F, Joliet, Illinois |
| Authorized Official Name and Position | Rhonda L Sykes (PRESIDENT) |
| Authorized Official Contact | 8156858864 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Willow Ridge Services, Inc 1002 N 129th Infantry Dr Ste F Joliet IL 60435-3109 Ph: (815) 685-8864 | Willow Ridge Services, Inc 1002 N 129th Infantry Dr Ste F Joliet IL 60435-3109 Ph: (815) 685-8864 |
| NPI Number | 1477115475 |
|---|---|
| Provider Enumeration Date | 07/01/2019 |
| Last Update Date | 10/16/2022 |
| Certification Date | 10/16/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477115475 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Secondary |
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