WILLOW BIRCH THERAPY LLC NPI 1093441917

NPI Information

NPI: 1093441917
Provider Name: WILLOW BIRCH THERAPY, LLC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
5224 W DARBEE RD
FAIRGROVE, MI
ZIP 48733
Phone: (307) 220-8372
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WILLOW BIRCH THERAPY, LLC is a mental health (including community mental health center) clinic center in Fairgrove, MI. WILLOW BIRCH THERAPY, LLC NPI is 1093441917. The provider is registered as an organization entity type.

The provider's business location address is:

5224 W DARBEE RD
FAIRGROVE, MI
ZIP 48733-764
Phone: (307) 220-8372

The provider's authorized official is Chantel Windy .
The authorized official title is Owner, Clinical Social Worker and has the following contact phone number (307) 220-8372.

The enumeration date for this NPI number is 7/25/2022 and was last updated on 2/2/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	6801114851	OTHER	MICHIGAN	LMSW

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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