Healthcare Provider Details
I. General information
NPI: 1467162628
Provider Name (Legal Business Name): WILLOW COUNSELING SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/29/2022
Last Update Date: 04/08/2024
Certification Date: 04/08/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
51 N 15TH ST STE 1
BILLINGS MT
59101-2512
US
IV. Provider business mailing address
PO BOX 1181
BILLINGS MT
59103-1181
US
V. Phone/Fax
- Phone: 406-672-9769
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QM0801X |
| Taxonomy | Mental Health Clinic/Center (Including Community Mental Health Center) |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
REBECCA
BARBER
Title or Position: OWNER
Credential: LCSW
Phone: 406-672-9769