Willow Tree Counseling, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

WILLOW TREE COUNSELING, LLC

Practice address

15 W la Rua St
Pensacola, FL 32501-3933

Phone

(850) 206-4845

Fax

(850) 665-3288

NPI assigned

Feb 26, 2019

Organization subpart

No

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

Authorized official

Name

Ms. Donna Watson, LCSW

Title

Owner/Manager

Phone

(850) 206-4845

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1551139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624665600000",
    "number": "1750848784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3620 GOYA CT",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325044522",
            "telephone_number": "850-206-4845",
            "fax_number": "850-438-4649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 W LA RUA ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325013933",
            "telephone_number": "850-206-4845",
            "fax_number": "850-665-3288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOW TREE COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-26",
        "last_updated": "2021-06-26",
        "certification_date": "2021-06-10",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "850-206-4845",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wayne S Willis, MD
• William S Willis, MD
• Suzzanna V Williston
• Mary Margaret Willoughby
• Willow Harbor Therapy Center, LLC
• Jackie Willson
• Sherian B Wilmot-Carter, APRN
• Dana Wilmot, BCBA
• Kathryn Julia Wilmot, MS, LAT, ATC
• Terry T Wilsdorf, M.D.

• Clinical Social Worker in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2021; 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.