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Organization
THE WILLOWS TREATMENT CENTER LLC
Active
Organization
THE WILLOWS TREATMENT CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MAYDA O OLLEROS M. ED LPC (PRESIDENT)
(956) 541-8040
Entity
Organization
Contact information
Practice address
905 E LOS EBANOS BLVD, STE A, BROWNSVILLE, TX 78520-8706
(956) 541-8040
(956) 205-0430
Mailing address
905 E. LOS EBANOS BLVD, STE A, BROWNSVILLE, TX 78520-8720
(956) 541-8040
(956) 205-0430
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
13679
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0035DL
BC/BS
TX
01
—
116832
SUPERIOR HEALTH PLAN
TX
Enumeration date
09/11/2007
Last updated
09/11/2007
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