Willow Wellness LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

WILLOW WELLNESS LLC

Practice address

3030 Wendys Way Unit a
Anchorage, AK 99517-1404

Phone

(406) 253-7924

NPI assigned

Feb 14, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Haley Gilman, LCSWNPI 1114428471

Title

Owner

Phone

(406) 253-7924

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Haley Gilman, LCSW

  • Addiction (Substance Use Disorder) Counselor
  • Anchorage, AK
  • NPI 1114428471
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1676332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676332800000",
    "number": "1013614502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 WENDYS WAY UNIT A",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995171404",
            "telephone_number": "406-253-7924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 WENDYS WAY UNIT A",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995171404",
            "telephone_number": "406-253-7924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOW WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-14",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-09",
        "status": "A",
        "authorized_official_last_name": "GILMAN",
        "authorized_official_first_name": "HALEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-253-7924",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lorraine Willis, BSW
• Timothy Paul Willis, PEER SPECIALIST
• Casey Willman, DO
• Gwendolyn L Willmon, DC
• Justeena MM Willmorth
• Willow, LLC
• Willowcreek Adult Day Center Incorporated Dba Willowcreek Ak Transport
• Willowcreek Ak Transport Incorporated
• Willowcreek Assisted Living Home
• Savannah Wilmarth, LMT

• Clinic/Center in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Clinic/Center in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.