Provider Demographics
NPI:1912086620
Name:WILLOWS ASSOCIATES PSYCHOLOGICAL & COUNSELING SERVICES INC
Entity Type:Organization
Organization Name:WILLOWS ASSOCIATES PSYCHOLOGICAL & COUNSELING SERVICES INC
Other - Org Name:WILLOWS ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:R
Authorized Official - Last Name:SOARES
Authorized Official - Suffix:
Authorized Official - Credentials:MA LMHC
Authorized Official - Phone:978-686-2900
Mailing Address - Street 1:857 TURNPIKE ST
Mailing Address - Street 2:STE 136
Mailing Address - City:NORTH ANDOVER
Mailing Address - State:MA
Mailing Address - Zip Code:01845-6140
Mailing Address - Country:US
Mailing Address - Phone:978-686-2900
Mailing Address - Fax:978-686-2929
Practice Address - Street 1:857 TURNPIKE ST
Practice Address - Street 2:STE 136
Practice Address - City:NORTH ANDOVER
Practice Address - State:MA
Practice Address - Zip Code:01845-6140
Practice Address - Country:US
Practice Address - Phone:978-686-2900
Practice Address - Fax:978-686-2929
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty