Willow Tree Therapy Group, Llc.

LBN: Willow Tree Therapy Group, Llc.
Willow Tree Therapy Group, Llc. is an health care organization with primary practice located at 138 Wateree Dr , Santee SC 29142-9309. The organization recently has 4 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Health Service, Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Agencies / Community/Behavioral Health is the primary health care specialty. Willow Tree Therapy Group, Llc. can be contacted via phone (843) 560-4339, or through Clayton, Laura via phone (843) 560-4339.

Contact Information

Primary practice address
138 Wateree Dr Santee SC 29142-9309
Phone: (843) 560-4339
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Clayton, Laura LPC-A
Phone: (843) 560-4339

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X
Ambulatory Health Care Facilities / Health Service 261QH0100X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X

Profile Details

NPI number 1144944034
LBN Legal business name Willow Tree Therapy Group, Llc.
DBA Doing business as
Authorized official Clayton, Laura LPC-A
Entity Organization
Organization subpart 1 No
Enumeration date Oct 3rd, 2022
Last updated Oct 3rd, 2022 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144944034 NPPES
South Carolina Other 1255055141 INDIVIDUAL NPI

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