WILLOW & LEAF PLLC NPI 1972262806

NPI Information

NPI: 1972262806
Provider Name: WILLOW & LEAF PLLC

Doing Business As: WILLOW & LEAF COUNSELING

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
1658 N MILWAUKEE AVE # 3671
CHICAGO, IL
ZIP 60647
Phone: (872) 365-6087
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WILLOW & LEAF PLLC is a mental health (including community mental health center) clinic center in Chicago, IL. WILLOW & LEAF PLLC NPI is 1972262806. The provider is registered as an organization entity type.
The provider Is Doing Business As Willow & Leaf Counseling.

The provider's business location address is:

1658 N MILWAUKEE AVE # 3671
CHICAGO, IL
ZIP 60647-905
Phone: (872) 365-6087

The provider's authorized official is Jordan A Dobrowski .
The authorized official title is Founder, Psychotherapist and has the following contact phone number (872) 365-5086.

The enumeration date for this NPI number is 12/8/2021 and was last updated on 1/17/2022.

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	261QM0850X	Clinic/Center	Adult Mental Health	No
2	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	No
3	261QM0801X	Clinic/Center	Mental 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: 11/14/2023

NPI Synchronization or Removal

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