# WILLOW TREE WELLNESS, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Amanda Pikala
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245848696
- **Authorized official:** MS. AMANDA L PIKALA LMFT (OWNER)
- **Authorized official phone:** (651) 216-5309

## Contact information

- **Practice address:** 4423 VIKING BLVD NE, EAST BETHEL, MN 55092-9494
- **Practice address phone:** (651) 216-5309
- **Mailing address:** 4423 VIKING BLVD NE, EAST BETHEL, MN 55092-9494
- **Mailing address phone:** (651) 216-5309

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 07/21/2020
- **Last updated:** 07/21/2020