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Organization
WELLNESS WILLOWS HOLISTIC HEALTH RETREAT INC
Active
Organization
WELLNESS WILLOWS HOLISTIC HEALTH RETREAT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN LEE MURRAY-WACHTENDORF I PSY.D., LPC (DIRECTOR)
(936) 931-3324
Entity
Organization
Contact information
Practice address
16525 MATHIS RD, WALLER, TX 77484-4909
(936) 931-3324
(832) 553-7973
Mailing address
16525 MATHIS RD, WALLER, TX 77484-4909
(936) 931-3324
(832) 553-7973
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
63119
TX
102L00000X
Psychoanalyst
63119
TX
261QM0850X
Adult Mental Health Clinic/Center
63119
TX
261QM0855X
Adolescent and Children Mental Health Clinic/Center
63119
TX
261QR0400X
Rehabilitation Clinic/Center
E6345
TX
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
1983
TX
332B00000X
Durable Medical Equipment & Medical Supplies
—
TX
Other
Enumeration date
10/29/2006
Last updated
09/26/2009
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