WILLOW OAK THERAPY CENTER, INC.


Address: 15701 Crabbs Branch Way, Rockville, MD 20855-2634
Phone: 3012518965

WILLOW OAK THERAPY CENTER, INC. (NPI# 1386620581) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1386620581
Entity Type Organization
Organization Name WILLOW OAK THERAPY CENTER, INC.
Other Organization Name AFFILIATED COMMUNITY COUNSELORS, INC.
Practice Address 15701 Crabbs Branch Way
Rockville
MD 20855-2634
Practice Telephone 3012518965
Practice Fax Number 3012510136
Mailing Telephone 3012518965
Mailing Fax Number 3012510136
Enumeration Date 2005-12-20
Last Update Date 2017-03-31
Authorized Official Name MS. JODY TABNER THAYER (EXECUTIVE DIRECTOR)
Authorized Official Telephone 3012518965
Authorized Official Credential LCSW-C
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
MD BCBS 5458AF 01
DC BLUE CROSS BLUE SHIELD 7726 01
MD 125603300 05

Other Provider/Organization Names

Other Name Type Code
Affiliated Community Counselors, Inc. Former Legal Business Name - Organization

Office Location

Street Address 15701 CRABBS BRANCH WAY
City ROCKVILLE
State MD
Zip Code 20855-2634

Providers in the same location

NPI Name Taxonomy Address Enumeration
1992343131 Katharine Ellis Social Worker 15701 Crabbs Branch Way, Rockville, MD 20855-2634 2019-12-18
1598312993 Hongkyung Julie Youck Counselor 15701 Crabbs Branch Way, Rockville, MD 20855-2634 2019-08-20
1053798470 Mamata Hotha Social Worker 15701 Crabbs Branch Way, Rockville, MD 20855-2634 2015-05-05
1437571874 Catherine Tardif-douglin Social Worker 15701 Crabbs Branch Way, Rockville, MD 20855-2634 2014-01-18
1174872964 Jody Tabner Thayer Social Worker 15701 Crabbs Branch Way, Rockville, MD 20855-2634 2012-09-07
1477847002 Janet Akman Social Worker 15701 Crabbs Branch Way, Rockville, MD 20855-2634 2011-05-31
1669705109 Anne-marie Corrado Social Worker 15701 Crabbs Branch Way, Rockville, MD 20855-2634 2009-09-16

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1801388525 Michael Robinson Behavior Technician 7613 Standish Place, Rockville, MD 20855 2018-05-30
1144722885 Samantha Green Occupational Therapist 15850 Crabbs Branch Way # 150, Rockville, MD 20855 2018-03-07
1144690157 Katrina Williams Psychologist 15744 Crabbs Branch Way Ste 100, Derwood, MD 20855 2015-10-02
1720321888 Melanie Milczarski Smith Specialist 17620-a Redland Road, Rockville, MD 20855 2013-03-27
1104155167 Nicole Renee Christenson Nurse Practitioner 6001 Muncaster Mill Rd., Rockville, MO 20855 2009-12-21
1104093244 Diane Klucinikas Boyd Audiologist 18520 Azalea Drive, Derwood, MD 20855 2008-05-08
1437320413 Shana Rene Mizzer Social Worker 8915 Shady Grove Court, Derwood, MD 20855 2008-03-18
1083786032 Mary Foster Herbers Social Worker 15521 Villisca Terrace, Rockville, MD 20855 2006-11-14
1063583698 Samuel Blum Dentist 15720 Crabbs Branch Way, No 1 C, Rockville, MD 20855 2006-11-13
1538639182 Jamie Jackson Behavior Technician 7529 Standish Pl, Rockville, MD 20855 2018-11-27
Find all providers in zip 20855

Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1427522614 Vivianlevicounseling, LLC Clinic/Center 1680 E Gude Dr Ste 303, Rockville, MD 20850-1372 2019-01-22
1134591985 Cornerstone Montgomery, Inc. Clinic/Center 2 Taft Ct, A, Rockville, MD 20850-1307 2015-10-20
1356816714 Bluefish Therapy and Consulting, LLC Clinic/Center 1680 E Gude Dr, Rockville, MD 20850-1360 2018-10-11
1942786967 Nora Talavera Wellness & Health Mental LLC Clinic/Center 50 W Edmonston Dr Ste 502, Rockville, MD 20852-1222 2018-07-12
1861936106 Oasis Rockville, LLC Clinic/Center 3202 Tower Oaks Blvd, Suite 100, Rockville, MD 20852-4219 2016-12-06
1679997472 Montgomery County Maryland Government Clinic/Center 1301 Piccard Dr, Rockville, MD 20850-4320 2014-02-13
1780008003 The Primary Care Coalition of Montgomery County, Maryland Clinic/Center 7300 Calhoun Pl Ste 600, Rockville, MD 20855-3701 2014-02-06
1801227939 Montgomery County Maryland Government Clinic/Center 255 Rockville Pike, Rockville, MD 20850-4153 2013-11-27
1417227505 Recovery Health Services, LLC Clinic/Center 14701 Avery Rd, Rockville, MD 20853-3605 2012-01-05
1356649057 Maryland Treatment Centers, Inc. Clinic/Center 14701 Avery Rd, Rockville, MD 20853-3605 2011-03-03
Find all providers in ROCKVILLE

Competitor

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City ROCKVILLE
Zip Code 20855

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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