Willow Wellness Center, Llc

LBN: Willow Wellness Center, Llc
Willow Wellness Center, Llc is an health care organization with primary practice located at 1400 Renaissance Dr Ste 401 , Park Ridge IL 60068-1337. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Ambulatory Health Care Facilities / Adult Mental Health. Ambulatory Health Care Facilities / Adult Mental Health is the primary health care specialty. Willow Wellness Center, Llc can be contacted via phone (847) 318-8200, or through Campbell, Lisa Cecilia via phone (847) 318-8200.

Contact Information

Primary practice address
1400 Renaissance Dr Ste 401 Park Ridge IL 60068-1337
Phone: (847) 318-8200
Fax: (847) 318-9170
Website:
Map and Directions
Authorized official contact:
Name: Campbell, Lisa Cecilia PSY.D.
Phone: (847) 318-8200

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X

Profile Details

NPI number 1154437739
LBN Legal business name Willow Wellness Center, Llc
DBA Doing business as
Authorized official Campbell, Lisa Cecilia PSY.D.
Entity Organization
Organization subpart 1 No
Enumeration date Aug 23rd, 2006
Last updated Jan 26th, 2023 - about last year

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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