| Willow Tree Counseling, Llc | |
|
15 W La Rua St Pensacola FL 32501-3933 | |
| (850) 206-4845 | |
| (850) 665-3288 |
| Full Name | Willow Tree Counseling, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 15 W La Rua St, Pensacola, Florida |
| Authorized Official Name and Position | Donna Watson (OWNER/MANAGER) |
| Authorized Official Contact | 8502064845 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Willow Tree Counseling, Llc 3620 Goya Ct Pensacola FL 32504-4522 Ph: (850) 206-4845 | Willow Tree Counseling, Llc 15 W La Rua St Pensacola FL 32501-3933 Ph: (850) 206-4845 |
| NPI Number | 1750848784 |
|---|---|
| Provider Enumeration Date | 02/26/2019 |
| Last Update Date | 06/26/2021 |
| Certification Date | 06/10/2021 |
| Medicare PECOS PAC ID | 1850728635 |
|---|---|
| Medicare Enrollment ID | O20200218001328 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750848784 | NPI | - | NPPES |
| Provider Name | Donna L Watson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780071803 PECOS PAC ID: 6103132527 Enrollment ID: I20150831003006 |
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