Willowstone Family Services

LBN: Willowstone Family Services
Willowstone Family Services is an health care organization with primary practice located at 615 N. 18Th St. Suite 101, Lafayette IN 47904-3434. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as the primary health care specialty. Willowstone Family Services can be contacted via phone (765) 423-5361, or through Sullivan, Rebecca via phone (765) 423-5361.

Contact Information

Primary practice address
615 N. 18Th St. Suite 101 Lafayette IN 47904-3434
Phone: (765) 423-5361
Fax: (765) 742-8272
Website:
Map and Directions
Authorized official contact:
Name: Sullivan, Rebecca Licensed Clinical Social Worker (LCSW)
Phone: (765) 423-5361

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1780742874
LBN Legal business name Willowstone Family Services
DBA Doing business as
Authorized official Sullivan, Rebecca Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 4th, 2006
Last updated May 3rd, 2024 - about 6 months 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 1780742874 NPPES
Indiana MEDICAID 100264050
Indiana MEDICAID 100445220A

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