WILLOW TREE HEALING CENTER LLC NPI 1144807553

NPI Information

  • NPI: 1144807553
  • Provider Name: WILLOW TREE HEALING CENTER LLC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Address: 1516 NEWMOORE DR
    GLOUCESTER, VA
    ZIP 23061
  • Phone: (252) 619-0887

Map and Directions

Get Directions

NPI Details

WILLOW TREE HEALING CENTER LLC is a mental health counselor in Gloucester, VA. WILLOW TREE HEALING CENTER LLC NPI is 1144807553. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1516 NEWMOORE DR
GLOUCESTER, VA
ZIP 23061
Phone: (252) 619-0887

The provider's authorized official is Mary Willoughby Prentiss .
The authorized official title is Owner and has the following contact phone number (252) 619-0887.

The enumeration date for this NPI number is 3/24/2021 and was last updated on 11/8/2023.

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
1101YM0800XCounselorMental HealthYes

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: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.