Willow Birch Therapy, LLC

NPI #1093441917 in Fairgrove, Michigan

Provider Information

NPI Number: 1093441917
Entity Type: Organization
Organization Name: Willow Birch Therapy, LLC
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Jul 25, 2022
Last Updated: Feb 2, 2023

Practice Location

Address: 5224 W DARBEE RD
City: Fairgrove
State: Michigan
ZIP Code: 48733-9764
Phone: (307) 220-8372

Authorized Official

Name: CHANTEL WINDY, LMSW
Title: OWNER, CLINICAL SOCIAL WORKER
Phone: (307) 220-8372

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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