Willows Edge LLC
NPI #1730484965 in Lake Orion, Michigan
Provider Information
- NPI Number
- 1730484965
- Entity Type
- Organization
- Organization Name
- Willows Edge LLC
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Jan 19, 2011
- Last Updated
- Jan 19, 2011
Practice Location
- Address
- 81 INDIANWOOD RD
- City
- Lake Orion
- State
- Michigan
- ZIP Code
- 48362-1595
- Phone
- (248) 894-4911
Authorized Official
- Name
- MRS. KAREN RENEE SMIGELSKI, LPC
- Title
- OWNER / COUNSELOR
- Phone
- (248) 894-4911
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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