# WILLOW LANE HEALTH LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1689277352
- **Authorized official:** BRIAN FISHER (OWNER)
- **Authorized official phone:** (214) 385-0180

## Contact information

- **Practice address:** 1288 BLUE LAKE DR, FRISCO, TX 75033-1437
- **Practice address phone:** (828) 506-0718
- **Mailing address:** 1288 BLUE LAKE DR, FRISCO, TX 75033-1437

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | Yes |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | Yes |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |

## Other

- **Enumeration date:** 11/17/2020
- **Last updated:** 01/07/2021