Willow Telepsychiatry LLC

Primary specialty

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

Legal business name

WILLOW TELEPSYCHIATRY LLC

Practice address

212 N 2ND St Ste 100
Richmond, KY 40475-1408

Phone

(859) 379-9908

Fax

(859) 461-8492

NPI assigned

Sep 22, 2026

Last updated

Oct 2, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tina Marie Evans, PMHNP-BC

Title

Owner/Sole Manager

Phone

(859) 470-2540

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1790035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790899200000",
    "number": "1396657367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 192",
            "city": "CROSS PLAINS",
            "state": "TN",
            "postal_code": "370490192",
            "telephone_number": "859-470-2540",
            "fax_number": "859-470-2540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 N 2ND ST STE 100",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404751408",
            "telephone_number": "859-379-9908",
            "fax_number": "859-461-8492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOW TELEPSYCHIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-22",
        "last_updated": "2026-10-02",
        "certification_date": "2026-10-02",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "TINA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER/SOLE MANAGER",
        "authorized_official_telephone_number": "859-470-2540",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Williams, MA,CCC/SLP
• Jennifer Williams, NP-C
• Phillip Robert Williams, P.T.
• Tamara Lynn Williams
• Rachael Willoughby, PHARMD
• Adaira Rianne Wilson
• Aleshia Joy Wilson
• Brittany Alexis Wilson, MA, LPCC-S, NCC
• Jennifer Megan Wilson
• Kaylee Jo Wilson, M.A. CF SLP

• Mental Health Clinic/Center (Including Community Mental Health Center) in Richmond, KY
• Providers in Richmond, KY by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.