Willowdale Counseling Center, Pllc in Nashua - Clinical
Willowdale Counseling Center, Pllc - NPI 1376635102
Willowdale Counseling Center, Pllc is a Clinical in Nashua, New Hampshire. Willowdale Counseling Center, Pllc practices all healthcare services and medical treatments related to Clinical. The NPI Number for Willowdale Counseling Center, Pllc is 1376635102. The last update date is 2021-09-01.
Willowdale Counseling Center, Pllc's current location address is 76 Northeastern Blvd Ste 36a, Nashua, New Hampshire. You can contact this provider via phone number 6038817554 and fax number 6038817533. The mailing address for Willowdale Counseling Center, Pllc is 76 Northeastern Blvd Ste 36a, Nashua, New Hampshire. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Willowdale Counseling Center, Pllc |
|---|---|
| Address | 76 Northeastern Blvd Ste 36a, Nashua, New Hampshire |
| Phone Number | 6038817554 |
| Fax Number | 6038817533 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Bray C. Timothy |
| Credentials | PH.D. |
| Telephone Number | 6038817554 |
NPI Number Detail
| NPI Number | 1376635102 |
|---|---|
| Provider Enumeration Date | 2006-09-29 |
| Last Updated Date | 2021-09-01 |
Provider Mailing Address Detail
| Address | 76 Northeastern Blvd Ste 36a |
|---|---|
| City | Nashua |
| State | New Hampshire (NH) |
| Post Code | 30623196 |
| Phone Number | 6038817554 |
| Fax Number | 6038817533 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 941 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the unique 10-digit identification code issued to Willowdale Counseling Center, Pllc by the Centers for Medicare & Medicaid Services?
The Willowdale Counseling Center, Pllc has been assigned the NPI (National Provider Identifier) 1376635102 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Willowdale Counseling Center, Pllc?
The Willowdale Counseling Center, Pllc is physically situated at 76 Northeastern Blvd Ste 36A, in the city of Nashua, state of NH, with the postal code 30623196.
What is the Willowdale Counseling Center, Pllc's specialty and taxonomy code?
The Willowdale Counseling Center, Pllc's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.
When did Willowdale Counseling Center, Pllc receive its 1376635102 assignment?
The Willowdale Counseling Center, Pllc was assigned its 1376635102 on 2006-09-29, which is the date when this unique identifier was issued to the organization.
When was the information related to Willowdale Counseling Center, Pllc most recently updated or refreshed?
The details pertaining to the Willowdale Counseling Center, Pllc, including its address, specialty, and other relevant information, were last updated or refreshed on 2021-09-01.