Willow Ridge Therapy, LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

WILLOW RIDGE THERAPY, LLC

Practice address

2532 Wheeler Dr
Chelsea, MI 48118-9224

Phone

(989) 859-4472

NPI assigned

May 15, 2020

Organization subpart

No

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

Authorized official

Name

Ms. Tamara Stiles-Beechey, LMSW

Title

Owner

Phone

(989) 859-4472

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1589500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589500800000",
    "number": "1922620640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1163 S MAIN ST # 157",
            "city": "CHELSEA",
            "state": "MI",
            "postal_code": "481181408",
            "telephone_number": "989-859-4472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2532 WHEELER DR",
            "city": "CHELSEA",
            "state": "MI",
            "postal_code": "481189224",
            "telephone_number": "989-859-4472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOW RIDGE THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-15",
        "last_updated": "2020-05-15",
        "certification_date": "2020-05-15",
        "status": "A",
        "authorized_official_last_name": "STILES-BEECHEY",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-859-4472",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Ann Bair Westhoven, PA-C
• Kimberly Diane White, DC.
• Rebecca Wilcox
• Kaitlin Wilkinson, CPNP-PC
• Robert Michael Williams, MD
• Carol J Wilson, PT
• Elizabeth Kim Wilson
• Kayla Wilson, LMSW
• Madeline J Wilson, DDS
• Traci Wilson, MA LLP

• Adult Mental Health Clinic/Center in Chelsea, MI
• Providers in Chelsea, MI by specialty
• Adult Mental Health Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.