Willow Tree Healing Center LLC
NPI #1144807553 in Gloucester, Virginia
Provider Information
- NPI Number
- 1144807553
- Entity Type
- Organization
- Organization Name
- Willow Tree Healing Center LLC
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Mar 24, 2021
- Last Updated
- Nov 8, 2023
Practice Location
- Address
- 1516 NEWMOORE DR
- City
- Gloucester
- State
- Virginia
- ZIP Code
- 23061
- Phone
- (252) 619-0887
Authorized Official
- Name
- MARY WILLOUGHBY PRENTISS, LPC
- Title
- OWNER
- Phone
- (252) 619-0887
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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