Willow Tree Counseling Llc | |
128 Plaza Cir Waterloo IA 50701-5139 | |
(319) 533-5707 | |
Not Available |
Full Name | Willow Tree Counseling Llc |
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Speciality | Counselor |
Location | 128 Plaza Cir, Waterloo, Iowa |
Authorized Official Name and Position | Lisa Barron (OWNER) |
Authorized Official Contact | 3195335707 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Willow Tree Counseling Llc 128 Plaza Cir Waterloo IA 50701-5139 Ph: (319) 533-5707 | Willow Tree Counseling Llc 128 Plaza Cir Waterloo IA 50701-5139 Ph: (319) 533-5707 |
NPI Number | 1780455386 |
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Provider Enumeration Date | 01/11/2024 |
Last Update Date | 01/11/2024 |
Certification Date | 01/11/2024 |
Medicare PECOS PAC ID | 6608210265 |
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Medicare Enrollment ID | O20240222001124 |
Identifier | Type | State | Issuer |
---|---|---|---|
1780455386 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Provider Name | Lisa Lmhc Barron |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1740656875 PECOS PAC ID: 3678919842 Enrollment ID: I20240311000710 |
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