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General NPI Number Information
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NPI Number | 1174108559
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Entity Type | Organization
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Legal Business Name | WILLOWTREE COUNSELING LLC
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Dates
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Enumeration Date | 03/16/2021
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Last Update Date | 05/13/2025
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Provider Practice Location Address
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Address Line | 169 GROVE ST RM E
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City | MARYSVILLE
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State | OH
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Zip | 43040-1342
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Country | US
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Telephone | 614-937-1859
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Fax | 937-528-2761
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Provider Business Mailing Address
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Address Line | 169 GROVE ST RM E
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City | MARYSVILLE
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State | OH
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Zip | 43040-1342
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Country | US
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Telephone | 937-738-1267
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Fax | 380-204-9914
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Authorized Official
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Title or Position | LISW
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Name | LAURA SCHMIDT
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Credential |
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Telephone | 614-937-1859
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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