# WILLOW TREE COUNSELING LLC

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

## Provider details

- **NPI number:** 1841742632
- **Authorized official:** MICHELE ANN BALDERSON LISW-CP (PSYCHOTHERAPIST COOWNER)
- **Authorized official phone:** (864) 436-9075

## Contact information

- **Practice address:** 107 E PARK AVE, GREENVILLE, SC 29601-1631
- **Practice address phone:** (864) 729-4184
- **Practice address fax:** (864) 729-4044
- **Mailing address:** 107 E PARK AVE, GREENVILLE, SC 29601-1631
- **Mailing address phone:** (864) 729-4184
- **Mailing address fax:** (864) 729-4044

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 10138 | SC | Yes |
| 1041C0700X | Clinical Social Worker | 10511 | SC | — |

## Other

- **Enumeration date:** 10/27/2016
- **Last updated:** 10/27/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | SW1324 | — | SC |
| 05 | — | SW1327 | — | SC |