| Willow Therapeutic, Pllc | |
|
217 Glenwood Ave Willow Springs IL 60480-1307 | |
| (574) 238-0438 | |
| Not Available |
| Full Name | Willow Therapeutic, Pllc |
|---|---|
| Speciality | Counselor |
| Location | 217 Glenwood Ave, Willow Springs, Illinois |
| Authorized Official Name and Position | Michelle Gessler (PSYCHOTHERAPIST) |
| Authorized Official Contact | 5742380438 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Willow Therapeutic, Pllc 217 Glenwood Ave Willow Springs IL 60480-1307 Ph: (574) 238-0438 | Willow Therapeutic, Pllc 217 Glenwood Ave Willow Springs IL 60480-1307 Ph: (574) 238-0438 |
| NPI Number | 1801581848 |
|---|---|
| Provider Enumeration Date | 04/06/2023 |
| Last Update Date | 04/08/2023 |
| Certification Date | 04/08/2023 |
| Medicare PECOS PAC ID | 4880030311 |
|---|---|
| Medicare Enrollment ID | O20240307000251 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801581848 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Michelle Gessler |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497364038 PECOS PAC ID: 6608212139 Enrollment ID: I20240307000291 |
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