Willow Behavioral Health LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

WILLOW BEHAVIORAL HEALTH LLC

Practice address

4610 S Biltmore LN Ste 106-107
Madison, WI 53718-2152

Phone

(617) 733-4233

Fax

(772) 679-0244

NPI assigned

Oct 28, 2025

Organization subpart

No

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

Authorized official

Name

Brandon Suprenant

Title

Ceo

Phone

(617) 733-4233

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1761609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761609600000",
    "number": "1174491369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4610 S BILTMORE LN STE 106-107",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537182152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4610 S BILTMORE LN STE 106-107",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537182152",
            "telephone_number": "617-733-4233",
            "fax_number": "772-679-0244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOW BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-28",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A",
        "authorized_official_last_name": "SUPRENANT",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "617-733-4233"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Kae Willits, MSW, APSW
• Tamara Willman, CRNA
• Karl Willmann, MD
• Corinne Katherine Willner, D.C.
• Alexis Willoughby
• Willow Counseling and Therapeutic Art Center
• Willow Tree Chiropractic LLC
• Cerissa Jean Wills, LMFT
• Sabrina Wills
• Linda D Willsey, PHARM.D.

• Substance Use Disorder Rehabilitation Clinic/Center in Madison, WI
• Providers in Madison, WI by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2025; 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.