# WILLOW OAK COUNSELING, LLC

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

## Provider details

- **NPI number:** 1558736041
- **Authorized official:** MRS. REBEKAH BURKE COTTLE LMFT (MEMBER)
- **Authorized official phone:** (502) 882-0225

## Contact information

- **Practice address:** 125 FAIRFAX AVE, LOUISVILLE, KY 40207-4905
- **Practice address phone:** (502) 882-0225
- **Mailing address:** 125 FAIRFAX AVE, LOUISVILLE, KY 40207-4905
- **Mailing address phone:** (502) 882-0225

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | MFTMFT00223555 | KY | Yes |
| 251S00000X | Community/Behavioral Health Agency | MFTMFT00223555 | KY | — |

## Other

- **Enumeration date:** 12/09/2015
- **Last updated:** 01/02/2016