| Willows Edge Llc | |
|
81 Indianwood Rd Lake Orion MI 48362-1595 | |
| (248) 894-4911 | |
| Not Available |
| Full Name | Willows Edge Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 81 Indianwood Rd, Lake Orion, Michigan |
| Authorized Official Name and Position | Karen Renee Smigelski (OWNER / COUNSELOR) |
| Authorized Official Contact | 2488944911 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Willows Edge Llc Po Box 311 Lake Orion MI 48361-0311 Ph: (248) 894-4911 | Willows Edge Llc 81 Indianwood Rd Lake Orion MI 48362-1595 Ph: (248) 894-4911 |
| NPI Number | 1730484965 |
|---|---|
| Provider Enumeration Date | 01/19/2011 |
| Last Update Date | 01/19/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730484965 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 6401009232 (Michigan) | Primary |
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