Organization
THREE WILLOWS HEALING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA JOAN ELISEO LPC (OWNER/THERAPIST)
(000) 000-0000
Entity
Organization
Contact information
Practice address
119 GARDEN ST, PRESCOTT, AZ 86305-2905
(928) 848-8897
Mailing address
981 N LATIGO LN, DEWEY, AZ 86327-5831
(928) 848-8897
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/03/2025
Last updated
10/08/2025
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