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General NPI Number Information
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NPI Number | 1730835869
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Entity Type | Organization
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Legal Business Name | WILLOW COUNSELING, PLLC
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Dates
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Enumeration Date | 02/28/2022
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Last Update Date | 12/05/2024
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Provider Practice Location Address
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Address Line | 2505 21ST AVE S STE 440
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City | NASHVILLE
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State | TN
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Zip | 37212-5652
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Country | US
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Telephone | 615-235-3508
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Fax |
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Provider Business Mailing Address
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Address Line | 2505 21ST AVE S STE 440
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City | NASHVILLE
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State | TN
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Zip | 37212-5652
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | STAFF THERAPIST
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Name | KACEY HOLLEY
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Credential | LPC-MHSP
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Telephone | 903-241-4700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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