Organization
THREE WILLOWS CENTER, LLC
Active
Other names
Three Willows Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY STARIN LPC (OWNER)
(517) 528-4651
Entity
Organization
Contact information
Practice address
126 E MAIN ST # 2, MIDDLEVILLE, MI 49333-8391
(616) 259-5390
Mailing address
1774 HAMMOND RD, HASTINGS, MI 49058-9574
(517) 528-4651
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
—
14505826
—
MI
Enumeration date
10/04/2021
Last updated
10/04/2021
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