| Willow Tree Wellness Llc | |
|
3131 Thomas Ave Berkley MI 48072-3158 | |
| (248) 385-3539 | |
| Not Available |
| Full Name | Willow Tree Wellness Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 3131 Thomas Ave, Berkley, Michigan |
| Authorized Official Name and Position | Ashley Pierzchala (OWNER) |
| Authorized Official Contact | 2483853539 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Willow Tree Wellness Llc 3131 Thomas Ave Berkley MI 48072-3158 Ph: (248) 385-3539 | Willow Tree Wellness Llc 3131 Thomas Ave Berkley MI 48072-3158 Ph: (248) 385-3539 |
| NPI Number | 1366118143 |
|---|---|
| Provider Enumeration Date | 08/20/2021 |
| Last Update Date | 06/14/2024 |
| Certification Date | 06/14/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366118143 | NPI | - | NPPES |
| 1235663998 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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