Willow Stream LLC

NPI #1073352332 in Tempe, Arizona

Provider Information

NPI Number: 1073352332
Entity Type: Organization
Organization Name: Willow Stream LLC
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: May 24, 2024
Last Updated: May 24, 2024

Practice Location

Address: 233 E SOUTHERN AVE UNIT 25237
City: Tempe
State: Arizona
ZIP Code: 85285-0076
Phone: (844) 647-2926

Authorized Official

Name: MISA YANAGISAWA, LCSW, LCSWC
Title: OWNER
Phone: (844) 647-2926

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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