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Organization
WILLOW TREE THERAPY SERVICES LLC
Active
Organization
WILLOW TREE THERAPY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA N BAILEY LMHC (OWNER)
(423) 337-1635
Entity
Organization
Contact information
Practice address
19 W MACCLENNY AVE STE 111, MACCLENNY, FL 32063-2086
(904) 349-5299
Mailing address
19 W MACCLENNY AVE STE 111, MACCLENNY, FL 32063-2086
(904) 349-5299
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/11/2020
Last updated
02/11/2020
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