Willow Bend Center

NPI #1023300720 in Tyler, Texas

Provider Information

NPI Number: 1023300720
Entity Type: Organization
Organization Name: Willow Bend Center
Primary Specialty: Counselor - Professional
Enumeration Date: May 12, 2011
Last Updated: May 12, 2011

Practice Location

Address: 2902 STATE HIGHWAY 31 E
City: Tyler
State: Texas
ZIP Code: 75702-8613
Phone: (903) 596-8900

Authorized Official

Name: DR. JAMES PRESTON FLORENCE, PH.D
Title: EXECUTIVE DIRECTOR
Phone: (903) 596-8900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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