Provider Demographics
NPI:1457554172
Name:DOROTHEA M. WILLAND
Entity Type:Organization
Organization Name:DOROTHEA M. WILLAND
Other - Org Name:DESERT SKY COUNSELING, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:DOROTHEA
Authorized Official - Middle Name:M
Authorized Official - Last Name:WILLAND
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPC
Authorized Official - Phone:623-932-0637
Mailing Address - Street 1:503 E PLAZA CIR DR
Mailing Address - Street 2:SUITE B
Mailing Address - City:LITCHFIELD PARK
Mailing Address - State:AZ
Mailing Address - Zip Code:85340-4924
Mailing Address - Country:US
Mailing Address - Phone:623-932-0637
Mailing Address - Fax:623-932-0750
Practice Address - Street 1:503 E PLAZA CIR DR
Practice Address - Street 2:SUITE B
Practice Address - City:LITCHFIELD PARK
Practice Address - State:AZ
Practice Address - Zip Code:85340-4924
Practice Address - Country:US
Practice Address - Phone:623-932-0637
Practice Address - Fax:623-932-0750
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-08
Last Update Date:2008-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty