Willow Tree Therapy Services Llc | |
19 W Macclenny Ave Ste 111 Macclenny FL 32063-2086 | |
(904) 349-5299 | |
Not Available |
Full Name | Willow Tree Therapy Services Llc |
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Speciality | Counselor - Mental Health |
Location | 19 W Macclenny Ave Ste 111, Macclenny, Florida |
Authorized Official Name and Position | Amanda N Bailey (OWNER) |
Authorized Official Contact | 4233371635 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Willow Tree Therapy Services Llc 19 W Macclenny Ave Ste 111 Macclenny FL 32063-2086 Ph: (904) 349-5299 | Willow Tree Therapy Services Llc 19 W Macclenny Ave Ste 111 Macclenny FL 32063-2086 Ph: (904) 349-5299 |
NPI Number | 1134751753 |
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Provider Enumeration Date | 02/11/2020 |
Last Update Date | 02/11/2020 |
Certification Date | 02/11/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1134751753 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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