Willow Tree Family Counseling, LLC

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

WILLOW TREE FAMILY COUNSELING, LLC

Practice address

7129 Gadsden Hwy Ste 101
Trussville, AL 35173-1618

Phone

(251) 233-0929

NPI assigned

Dec 3, 2020

Last updated

Dec 3, 2020By 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

Ms. Angela Lacy McClintock, LICSWNPI 1093292740

Title

Licensed Clinical Social Worker

Phone

(251) 233-0929

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, and the practitioner matching its NPPES authorized official.

• Angela McClintock, MSW

  • Clinical Social Worker
  • Decatur, AL
  • NPI 1093292740
  Authorized official Same address or phone

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

{
    "created_epoch": "1606953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606953600000",
    "number": "1740885102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7129 GADSDEN HWY STE 101",
            "city": "TRUSSVILLE",
            "state": "AL",
            "postal_code": "351731618",
            "telephone_number": "251-233-0929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7129 GADSDEN HWY STE 101",
            "city": "TRUSSVILLE",
            "state": "AL",
            "postal_code": "351731618",
            "telephone_number": "251-233-0929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOW TREE FAMILY COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-03",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A",
        "authorized_official_last_name": "MCCLINTOCK",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "LACY",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "251-233-0929",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah N Wheat, LMFT
• Alexandria Victoria White, DPT
• Thelma Ann Wilbur, RPH
• Terri Williams-Glass
• Thomas G. Willingham Jr., D.M.D.
• Ann-Katrin Wilson, M.D.
• Cierra Wilson
• Wise Omfs
• Wolverton Wellness, LLC
• Kimberly Ragsdale Woods, PHARM.D.

• Adolescent and Children Mental Health Clinic/Center in Trussville, AL
• Providers in Trussville, AL by specialty
• Adolescent and Children Mental Health Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2020; 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.