Organization
WILLOW OAK THERAPY CENTER, INC.
Active
Other names
Affiliated Community Counselors, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JODY TABNER THAYER LCSW-C (EXECUTIVE DIRECTOR)
(301) 251-8965
Entity
Organization
Contact information
Practice address
15701 CRABBS BRANCH WAY, ROCKVILLE, MD 20855-2634
(301) 251-8965
(301) 251-0136
Mailing address
15701 CRABBS BRANCH WAY, ROCKVILLE, MD 20855-2634
(301) 251-8965
(301) 251-0136
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
125603300
—
MD
01
—
5458AF
BCBS
MD
01
—
7726
BLUE CROSS BLUE SHIELD
DC
Enumeration date
12/20/2005
Last updated
03/31/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us