Willow Tree Counseling Llc
LBN: Willow Tree Counseling Llc
Willow Tree Counseling Llc is an health care organization with primary practice located at 107 E Park Ave , Greenville SC 29601-1631. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty.
Willow Tree Counseling Llc can be contacted via phone (864) 729-4184, or through Balderson, Michele Ann via phone (864) 436-9075.
Contact Information
Primary practice address
107 E Park Ave
Greenville SC 29601-1631
Phone: (864) 729-4184
Fax: (864) 729-4044
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 10138 | South Carolina |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 10511 | South Carolina |
Profile Details
| NPI number | 1841742632 |
|---|---|
| LBN Legal business name | Willow Tree Counseling Llc |
| DBA Doing business as | |
| Authorized official | Balderson, Michele Ann LISW-CP |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 27th, 2016 |
| Last updated | Oct 27th, 2016 - about 10 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1841742632 | NPPES |
| South Carolina | MEDICAID | SW1324 | |
| South Carolina | MEDICAID | SW1327 |
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