Organization
WILLOW LANE HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN FISHER (OWNER)
(214) 385-0180
Entity
Organization
Contact information
Practice address
1288 BLUE LAKE DR, FRISCO, TX 75033-1437
(828) 506-0718
Mailing address
1288 BLUE LAKE DR, FRISCO, TX 75033-1437
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
11/17/2020
Last updated
01/07/2021
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