Organization
WILLOW BEND COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE GOUDREAU-GREEN LCSW-R (MEMBER/OWNER)
(914) 825-4800
Entity
Organization
Contact information
Practice address
351 MANVILLE RD STE 104, PLEASANTVILLE, NY 10570-2166
(914) 825-4800
Mailing address
1727 MAPLE AVE, PEEKSKILL, NY 10566-4837
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
10/02/2020
Last updated
10/02/2020
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