WILLOW HOLISTIC WELLNESS NPI 1235694324

NPI Information

NPI: 1235694324
Provider Name: WILLOW HOLISTIC WELLNESS
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
2000 AUBURN DR STE 200
BEACHWOOD, OH
ZIP 44122
Phone: (855) 949-3551
Get Directions

WILLOW HOLISTIC WELLNESS is a psychiatric/mental health nurse practitioner in Beachwood, OH. WILLOW HOLISTIC WELLNESS NPI is 1235694324. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2000 AUBURN DR STE 200
BEACHWOOD, OH
ZIP 44122-328
Phone: (855) 949-3551
Fax: (512) 856-6228

The provider's authorized official is Renee Diane Pennington .
The authorized official title is Owner and has the following contact phone number (440) 552-2357.

The enumeration date for this NPI number is 2/4/2019 and was last updated on 9/14/2020.

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	Primary
1	103TP2701X	Psychologist	Group Psychotherapy	No
2	2084P0804X	Psychiatry & Neurology	Child & Adolescent Psychiatry	No
3	2084S0012X	Psychiatry & Neurology	Sleep Medicine	No
4	363LW0102X	Nurse Practitioner	Women's Health	No
5	101YM0800X	Counselor	Mental Health	No
6	364SP0807X	Clinical Nurse Specialist	Psychiatric/Mental Health, Child & Adolescent	No
7	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	Yes

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: 11/14/2023

NPI Synchronization or Removal

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