Willow Tree Counseling Llc | |
107 E Park Ave Greenville SC 29601-1631 | |
(864) 729-4184 | |
(864) 729-4044 |
Full Name | Willow Tree Counseling Llc |
---|---|
Speciality | Social Worker - Clinical |
Location | 107 E Park Ave, Greenville, South Carolina |
Authorized Official Name and Position | Michele Ann Balderson (PSYCHOTHERAPIST COOWNER) |
Authorized Official Contact | 8644369075 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Willow Tree Counseling Llc 107 E Park Ave Greenville SC 29601-1631 Ph: (864) 729-4184 | Willow Tree Counseling Llc 107 E Park Ave Greenville SC 29601-1631 Ph: (864) 729-4184 |
NPI Number | 1841742632 |
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Provider Enumeration Date | 10/27/2016 |
Last Update Date | 10/27/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1841742632 | NPI | - | NPPES |
SW1324 | Medicaid | SC | |
SW1327 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 10138 (South Carolina) | Primary |
1041C0700X | Social Worker - Clinical | 10511 (South Carolina) | Secondary |
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