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Organization
WILLOW BAY THERAPY, LLC
Active
Organization
WILLOW BAY THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JOANNA LYNN KELLY MA, LMFT, RPT-S (OWNER/PSYCHOTHERAPIST)
(612) 961-1015
Entity
Organization
Contact information
Practice address
12805 HIGHWAY 55 STE 216, PLYMOUTH, MN 55441-3859
(612) 440-1450
(612) 524-5563
Mailing address
3933 BLOOMINGTON AVE, MINNEAPOLIS, MN 55407-2843
(612) 961-1015
(612) 524-5563
Taxonomy
Speciality
Code
Description
License number
State
225XM0800X
Mental Health Occupational Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
3192
MN
Other
Enumeration date
05/31/2017
Last updated
02/23/2026
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