Blue Willow Therapy, Llc

LBN: Blue Willow Therapy, Llc
Blue Willow Therapy, Llc is an health care organization with primary practice located at 2343 W Winona St , Chicago IL 60625-1853. The organization recently has only one registered license in Ambulatory Health Care Facilities / Adult Mental Health, which is considered as the primary health care specialty. Blue Willow Therapy, Llc can be contacted via phone (217) 691-2760, or through Taylor, Taneka via phone (217) 691-2760.

Contact Information

Primary practice address
2343 W Winona St Chicago IL 60625-1853
Phone: (217) 691-2760
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Taylor, Taneka Licensed Clinical Social Worker (LCSW)
Phone: (217) 691-2760

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X

Profile Details

NPI number 1417629353
LBN Legal business name Blue Willow Therapy, Llc
DBA Doing business as
Authorized official Taylor, Taneka Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 29th, 2021
Last updated Dec 20th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers