Healthcare Provider Details

I. General information

NPI: 1306754353
Provider Name (Legal Business Name): WILLOWB HEALING HEARTS THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2806 SW HUNTOON ST
TOPEKA KS
66604-1614
US

IV. Provider business mailing address

2806 SW HUNTOON ST
TOPEKA KS
66604-1614
US

V. Phone/Fax

Practice location:
  • Phone: 785-250-7079
  • Fax:
Mailing address:
  • Phone: 785-250-7079
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name: KELSEY ROBINSON
Title or Position: THERAPIST
Credential: LMSW
Phone: 785-250-7079