| Willowtree Therapeutic Services, Inc. | |
|
544 Riviera Rd Valparaiso IN 46385-8127 | |
| (219) 200-6125 | |
| Not Available |
| Full Name | Willowtree Therapeutic Services, Inc. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 544 Riviera Rd, Valparaiso, Indiana |
| Authorized Official Name and Position | Jade Hall (LMHC/OWNER) |
| Authorized Official Contact | 2192006125 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Willowtree Therapeutic Services, Inc. 544 Riviera Rd Valparaiso IN 46385-8127 Ph: () - | Willowtree Therapeutic Services, Inc. 544 Riviera Rd Valparaiso IN 46385-8127 Ph: (219) 200-6125 |
| NPI Number | 1811662430 |
|---|---|
| Provider Enumeration Date | 08/16/2021 |
| Last Update Date | 08/16/2021 |
| Certification Date | 08/16/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811662430 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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