Organization
WILLOW WELLNESS CENTER, PLLC
Active
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
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up