Willow Tree Healing Center, LLC
NPI #1912149345 in Saint Paul, Minnesota
Provider Information
- NPI Number
- 1912149345
- Entity Type
- Organization
- Organization Name
- Willow Tree Healing Center, LLC
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Mar 31, 2009
- Last Updated
- Feb 19, 2015
Practice Location
- Address
- 1821 UNIVERSITY AVE W
- Address 2
- SUITE S329
- City
- Saint Paul
- State
- Minnesota
- ZIP Code
- 55104-2801
- Phone
- (651) 222-9885
Authorized Official
- Name
- TRACEY WILKINS, LICSW
- Title
- CLINICAL SERVICES DIRECTOR
- Phone
- (651) 222-9985
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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