Organization · Type 2 NPI

Blue Willow Therapy, LLC

Adult Mental Health Clinic/Center · Chicago, IL

NPI number 1417629353 Active

Practice location

2343 W Winona St
Chicago, IL 60625-1853

Call (217) 691-2760 Map

Mailing address

2343 W Winona St Apt 2E
Chicago, IL 60625-1853

Specialties and licenses

TaxonomyCodeLicense
Adult Mental Health Clinic/Center Primary 261QM0850XNone listed

Adult Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

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About NPI 1417629353

Blue Willow Therapy, LLC's National Provider Identifier is 1417629353, issued on Sep 29, 2021. The primary taxonomy on file is Adult Mental Health Clinic/Center (261QM0850X), and the practice location is in Chicago, IL. The record was last updated on Dec 20, 2021.