Organization
WILLOW TREE MENTAL HEALTH CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA KOLTIS (OFFICE MANAGER)
(715) 497-6478
Entity
Organization
Contact information
Practice address
N5273 STATE HIGHWAY 27, LADYSMITH, WI 54848-1101
(715) 532-0281
(715) 532-0399
Mailing address
PO BOX 234, LADYSMITH, WI 54848-0234
(715) 532-0281
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
103TC0700X
Clinical Psychologist
—
—
Other
Enumeration date
10/04/2023
Last updated
02/11/2025
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