Provider Demographics
NPI:1174108559
Name:WILLOWTREE COUNSELING LLC
Entity type:Organization
Organization Name:WILLOWTREE COUNSELING LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:LISW
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHMIDT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-937-1859
Mailing Address - Street 1:169 GROVE ST RM E
Mailing Address - Street 2:
Mailing Address - City:MARYSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43040-1342
Mailing Address - Country:US
Mailing Address - Phone:937-738-1267
Mailing Address - Fax:380-204-9914
Practice Address - Street 1:169 GROVE ST RM E
Practice Address - Street 2:
Practice Address - City:MARYSVILLE
Practice Address - State:OH
Practice Address - Zip Code:43040-1342
Practice Address - Country:US
Practice Address - Phone:614-937-1859
Practice Address - Fax:937-528-2761
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-16
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)