Willow Family Counseling PLLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

WILLOW FAMILY COUNSELING PLLC

Practice address

7274 Dixie Hwy
Bridgeport, MI 48722-9702

Phone

(989) 315-8375

NPI assigned

Mar 15, 2019

Organization subpart

No

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

Authorized official

Name

Tyler D Brewer, LPCNPI 1992212336

Title

Professional Counselor

Phone

(989) 315-8375

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.

• Tyler Denee Brewer, LLPC

  • Professional Counselor
  • Bridgeport, MI
  • NPI 1992212336
  NPD Authorized official

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

{
    "created_epoch": "1552608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679702400000",
    "number": "1578022943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 90674",
            "city": "BURTON",
            "state": "MI",
            "postal_code": "485090674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7274 DIXIE HWY",
            "city": "BRIDGEPORT",
            "state": "MI",
            "postal_code": "487229702",
            "telephone_number": "989-315-8375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOW FAMILY COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-15",
        "last_updated": "2023-03-25",
        "certification_date": "2023-03-25",
        "status": "A",
        "authorized_official_last_name": "BREWER",
        "authorized_official_first_name": "TYLER",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "989-315-8375",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Williams
• Jacqueline Williams, LLPC
• Kelsey Williams
• Makayla Rose Williams
• McKinley Williams, MANAGER
• Patrice M Wolinski, LPC
• Jordan Leigh Wolschlager, MSOT, OTRL
• Jennifer Lee Woodington
• Tia Wyskowski
• Neil B Yake, LPC, LMSW, CSW

• Professional Counselor in Bridgeport, MI
• Providers in Bridgeport, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.