# WILLOW MENTAL HEALTH SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265133730
- **Authorized official:** KIZZY RODNEY (OWNER)
- **Authorized official phone:** (929) 525-6563

## Contact information

- **Practice address:** 2918 AVENUE I \# 1127, BROOKLYN, NY 11210-2935
- **Practice address phone:** (929) 525-6563
- **Mailing address:** 2918 AVENUE I \# 1127, BROOKLYN, NY 11210-2935
- **Mailing address phone:** (929) 525-6563

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 03/13/2023
- **Last updated:** 03/13/2023