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Organization

WILLOWS WAY BEHAVIORAL HEALTH LLC

Active
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Organization

WILLOWS WAY BEHAVIORAL HEALTH LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. SANDRA MIRACLE LPCA (MANAGING MEMBER)
(606) 302-1834
Entity
Organization

Contact information

Practice address
103 S WALNUT ST, PINEVILLE, KY 40977-1619
(606) 302-1834
Mailing address
103 S WALNUT ST, PINEVILLE, KY 40977-1619

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—

Other

Enumeration date
08/27/2026
Last updated
08/27/2026
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