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NPI Code Detail

MEDICARE: WILLOW THERAPY FRAMEWORK, LLC

MEDICARE: WILLOW THERAPY FRAMEWORK, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1023976701
Entity Type Code : Organization
Provider Name (Legal Business Name) : WILLOW THERAPY FRAMEWORK, LLC
Provider Business Mailing Address
First Line : 365 WEKIVA SPRINGS RD STE 231
Second Line :
City : LONGWOOD
State : FL
Zip : 32779-3690
Country : US
Telephone Number : 407-409-8682
Fax Number :
Provider Business Practice Location Address
First Line : 365 WEKIVA SPRINGS RD STE 231
Second Line :
City : LONGWOOD
State : FL
Zip : 32779-3690
Country : US
Telephone Number : 407-409-8682
Fax Number :
Authorized Official
Title or Position : CEO
Name : AUDREY MEACHAM
Credential : LCSW
Telephone Number : 407-409-8682
Provider Enumeration Date : 01/12/2026
Last Update Date : 01/12/2026

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