Organization
WILLOW INTEGRATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA SIMONE CLEARY LCSW (OWNER)
(678) 886-8027
Entity
Organization
Contact information
Practice address
550 S MONTEZUMA ST STE A, PRESCOTT, AZ 86303-4200
(404) 590-2039
Mailing address
3050 WINDSOR DR, PRESCOTT, AZ 86301-4862
(678) 886-8027
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/06/2026
Last updated
05/06/2026
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