# WELLNESS WILLOWS HOLISTIC HEALTH RETREAT INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Wellness Willows SleepQuip
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609100031
- **Authorized official:** DR. BRIAN LEE MURRAY-WACHTEDORF I PSY.D., LPC (FACILITY DIRECTOR)
- **Authorized official phone:** (936) 931-3324

## Contact information

- **Practice address:** 16445 MATHIS RD, WALLER, TX 77484-5397
- **Practice address phone:** (936) 931-3324
- **Practice address fax:** (832) 553-7973
- **Mailing address:** 16445 MATHIS RD, WALLER, TX 77484-5397
- **Mailing address phone:** (936) 931-3324
- **Mailing address fax:** (832) 553-7973

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | — | TX | Yes |

## Other

- **Enumeration date:** 10/02/2009
- **Last updated:** 10/02/2009