Provider Demographics
NPI:1164012290
Name:WILLOW TREE COUNSELING AND CONSULTING, PLLC
Entity Type:Organization
Organization Name:WILLOW TREE COUNSELING AND CONSULTING, PLLC
Other - Org Name:WILLOW TREE COUNSELING AND CONSULTING, PLLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:MEGAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LPC
Authorized Official - Phone:830-312-3450
Mailing Address - Street 1:707 N WALNUT AVE STE 204
Mailing Address - Street 2:
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78130-7951
Mailing Address - Country:US
Mailing Address - Phone:830-312-3450
Mailing Address - Fax:
Practice Address - Street 1:707 N WALNUT AVE STE 204
Practice Address - Street 2:
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130-7951
Practice Address - Country:US
Practice Address - Phone:830-312-3450
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-22
Last Update Date:2022-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty