Organization
WILLOWGLEN ACADEMY INC
Active
Other names
Willowglen Academy Outpatient Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNA MALONEY LCSW (DIRECTOR OF OUTPATIENT SERVICES)
(414) 445-9180
Entity
Organization
Contact information
Practice address
4065 N 35TH ST, SUITE N100, MILWAUKEE, WI 53216-1705
(414) 445-9180
(414) 445-5995
Mailing address
4065 N 35TH ST, SUITE N100, MILWAUKEE, WI 53216-1705
(414) 445-9180
(414) 445-5995
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
2004
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42167200
—
WI
Enumeration date
02/29/2008
Last updated
06/19/2014
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