Willow Bend Center

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

License

849142 Issued in TX

Legal business name

WILLOW BEND CENTER

Practice address

407 E Marshall Ave
Longview, TX 75601-5423

Phone

(903) 236-4577

Fax

(903) 236-0246

NPI assigned

Jan 3, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Barbara J Linton

Title

Executive Assistant to Ceo

Phone

(903) 236-4577

Specialties & licenses 1

Addresses

Tax ID family

Willow Bend Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Willow Bend Center

  • Professional Counselor
  • Tyler, TX
  • NPI 1023300720
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James P Florence, LPC

  • Professional Counselor
  • Longview, TX
  • NPI 1851437883
  NPD (past)

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851458087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 E MARSHALL AVE",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756015423",
            "telephone_number": "903-236-4577",
            "fax_number": "903-236-0246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 E MARSHALL AVE",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756015423",
            "telephone_number": "903-236-4577",
            "fax_number": "903-236-0246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOW BEND CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LINTON",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "EXECUTIVE ASSISTANT TO CEO",
        "authorized_official_telephone_number": "903-236-4577",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "TX",
            "license": "849142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Willis, R.PH.
• Margaret Willis, RBT
• Selwyn Willis, DPM
• Sheila W Willis, LPC
• Summer Willis, FNP
• Allessia Wilson, MD
• Amy Ann Wilson, PT
• Cydney Erin Wilson, NP
• Jennifer R Wilson, MT
• Robyn Rhea Wilson, MS, RD, LD

• Emotionally Disturbed Childrens' Residential Treatment Facility in Longview, TX
• Providers in Longview, TX by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.