Willow Stream LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

WILLOW STREAM LLC

Practice address

233 E Southern Ave Unit 25237
Tempe, AZ 85285-0076

Phone

(844) 647-2926

NPI assigned

May 24, 2024

Organization subpart

No

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

Authorized official

Name

Misa Yanagisawa, LCSW, LCSWCNPI 1851573158

Title

Owner

Phone

(844) 647-2926

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Misa Yanagisawa, LCSW

  • Clinical Social Worker
  • Phoenix, AZ
  • NPI 1851573158
  NPD Authorized official

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

{
    "created_epoch": "1716508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716508800000",
    "number": "1073352332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 E SOUTHERN AVE UNIT 25237",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852850076",
            "telephone_number": "844-647-2926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 E SOUTHERN AVE UNIT 25237",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852850076",
            "telephone_number": "844-647-2926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOW STREAM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-24",
        "last_updated": "2024-05-24",
        "certification_date": "2024-05-24",
        "status": "A",
        "authorized_official_last_name": "YANAGISAWA",
        "authorized_official_first_name": "MISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "844-647-2926",
        "authorized_official_credential": "LCSW, LCSWC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phillip Williamson, N.M.D.
• Spencer Williamson, LAT, ATC
• Tomesha Jamese Williamson, NP
• Jennifer Lee Willis, LCSW
• Willow & Sprig
• Andre R Wilson, LMT
• Angela Wilson
• Cory Robert Wilson, D.C.
• Derek Wilson
• Dorothy Wilson, RN

• Mental Health Clinic/Center (Including Community Mental Health Center) in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2024; 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.