Organization
WILLOW WELLNESS CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA CECILIA CAMPBELL PSY.D. (CO-DIRECTOR)
(847) 318-8200
Entity
Organization
Contact information
Practice address
2604 DEMPSTER ST STE 401, PARK RIDGE, IL 60068-8428
(847) 318-8200
(224) 478-0026
Mailing address
2604 DEMPSTER ST STE 402, PARK RIDGE, IL 60068-8438
(847) 318-8200
(224) 478-0026
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
08/23/2006
Last updated
02/12/2025
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