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General NPI Number Information
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NPI Number | 1811800196
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Entity Type | Organization
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Legal Business Name | WILLOW TREE COMMUNITY SERVICES LLC
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Dates
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Enumeration Date | 09/25/2026
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Last Update Date | 09/25/2026
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Provider Practice Location Address
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Address Line | 50 WILSON DR
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City | SPARTA
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State | NJ
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Zip | 07871-3400
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Country | US
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Telephone | 908-246-0553
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Fax | 973-512-3628
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Provider Business Mailing Address
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Address Line | 50 WILSON DR
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City | SPARTA
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State | NJ
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Zip | 07871-3400
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Country | US
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Telephone | 908-246-0553
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Fax | 973-512-3628
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Authorized Official
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Title or Position | DIRECTOR
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Name | EDWARD C BLEVINS
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Credential | LPC, LCADC, ACS
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Telephone | 908-246-0553
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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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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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #7
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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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