Willow Behavioral Health LLC

NPI #1174491369 in Madison, Wisconsin

Provider Information

NPI Number: 1174491369
Entity Type: Organization
Organization Name: Willow Behavioral Health LLC
Primary Specialty: Clinic/Center - Rehabilitation, Substance Use Disorder
Enumeration Date: Oct 28, 2025
Last Updated: Oct 28, 2025

Practice Location

Address: 4610 S BILTMORE LN STE 106-107
City: Madison
State: Wisconsin
ZIP Code: 53718-2152
Phone: (617) 733-4233

Authorized Official

Name: BRANDON SUPRENANT
Title: CEO
Phone: (617) 733-4233

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Adult Mental Health — Adult Mental Health	261QM0850X
Clinic/Center - Rehabilitation, Substance Use Disorder — Rehabilitation, Substance Use Disorder	261QR0405X	Primary

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