Willow Wellness Inc

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

WILLOW WELLNESS INC

Doing business as

Willow Autism Center

Practice address

475 Etna St Ste 24
Saint Paul, MN 55106-5935

Phone

(651) 300-4733

Fax

(651) 430-1750

NPI assigned

May 4, 2024

Organization subpart

No

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

Authorized official

Name

Zak H

Title

N/a

Phone

(000) 000-0000

Specialties & licenses 1

Addresses

Other names 1

• Willow Autism Center Doing business as

Locations

Practitioners 3

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

• Ridwan Dahir

  • Behavior Technician
  • Saint Paul, MN
  • NPI 1528707718
  NPD
• Harum Hassan

  • Behavior Technician
  • Saint Paul, MN
  • NPI 1942097001
  NPD
• Yahye Abdiaziz Hassan

  • Behavior Technician
  • Saint Paul, MN
  • NPI 1205713120
  NPD

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

{
    "created_epoch": "1714780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784160000000",
    "number": "1942057153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 ETNA ST STE 24",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551065935",
            "telephone_number": "651-300-4733",
            "fax_number": "651-430-1750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 ETNA ST STE 24",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551065935",
            "telephone_number": "651-300-4733",
            "fax_number": "651-430-1750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOW WELLNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-04",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A",
        "authorized_official_last_name": "H",
        "authorized_official_first_name": "ZAK",
        "authorized_official_title_or_position": "N/A",
        "authorized_official_telephone_number": "000-000-0000"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Willow Autism Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Matthew Williamson
• Charlotte Willis
• Nora Willkomm, DDS
• Willow Tree Clinic
• Willow Tree Healing Center, LLC
• Willows of Episcopal Homes LLC (Willows of Ramsey Hill)
• Laura Elizabeth Willson, PA-C
• Michael L Willson, MD
• Devolia Wilson-Johnson
• Albert Graham Wilson IV, LPC

• Early Intervention Provider Agency in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Early Intervention Provider Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2026; 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.