| Wind And Willow | |
|
533 Bunchgrass St Evans GA 30809-0370 | |
| (706) 408-9634 | |
| Not Available |
| Full Name | Wind And Willow |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 533 Bunchgrass St, Evans, Georgia |
| Authorized Official Name and Position | Caitlin Rose Coop (MENTAL HEALTH THERAPIST) |
| Authorized Official Contact | 7064089634 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wind And Willow 533 Bunchgrass St Evans GA 30809-0370 Ph: (706) 408-9634 | Wind And Willow 533 Bunchgrass St Evans GA 30809-0370 Ph: (706) 408-9634 |
| NPI Number | 1902646904 |
|---|---|
| Provider Enumeration Date | 05/28/2024 |
| Last Update Date | 05/28/2024 |
| Certification Date | 05/28/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902646904 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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