WILLOW THERAPY AND WELLNESS NPI 1295517670

NPI Information

  • NPI: 1295517670
  • Provider Name: WILLOW THERAPY AND WELLNESS
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Address: 1713 STARR LN
    GLENSIDE, PA
    ZIP 19038
  • Phone: (443) 480-3673

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NPI Details

WILLOW THERAPY AND WELLNESS is a mental health (including community mental health center) clinic center in Glenside, PA. WILLOW THERAPY AND WELLNESS NPI is 1295517670. The provider is registered as an organization entity type.

The provider's business location address is:

1713 STARR LN
GLENSIDE, PA
ZIP 19038-400
Phone: (443) 480-3673

The provider's authorized official is Elyse Williams .
The authorized official title is Owner/clinician and has the following contact phone number (443) 480-3673.

The enumeration date for this NPI number is 10/19/2023 and was last updated on 10/19/2023.

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
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)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: 11/21/2025

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