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Organization
THREE WILLOWS CENTER, LLC
Active
Organization
THREE WILLOWS CENTER, LLC
Active
Other names
Three Willows Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY STARIN LPC (OWNER)
(517) 528-4651
Entity
Organization
Contact information
Practice address
126 E MAIN ST # 2, MIDDLEVILLE, MI 49333-8391
(616) 259-5390
Mailing address
1774 HAMMOND RD, HASTINGS, MI 49058-9574
(517) 528-4651
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
14505826
—
MI
Enumeration date
10/04/2021
Last updated
10/04/2021
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