THE WILLOW TREE (NPI# 1548683808) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548683808 |
| Entity Type | Organization |
| Organization Name | THE WILLOW TREE |
| Practice Address |
8 Bloomington Ln Stafford VA 22554-7727 |
| Practice Telephone | 5406458992 |
| Mailing Telephone | 5406458992 |
| Enumeration Date | 2014-01-22 |
| Last Update Date | 2014-01-22 |
| Authorized Official Name | ELESIA S VANBUREN (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5406458992 |
| Authorized Official Credential | MHR, SAC, LMHP-E |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | The Willow Tree Child Development Center LLC | 5255 S Laburnum Ave, Henrico, Virginia 23231 |
| Ohio Business Entities | THE WILLOW TREE COUNTRY STORE, LLC | P O Box 105, Vincent, OH 45784 |
| Virginia Business Entities | The Willow Tree Foundation | 12614 Petersburg St, Chester, Virginia 23831 |
| Iowa Business Entities | THE WILLOW TREE GARDEN CENTER LLC | 2103 19th Street, Emmetsburg, IA 50536 |
| Indiana Business Entities | THE WILLOW TREE GARDEN, LLC. | Po Box 310, Kouts, IN 46347 |
| Iowa Business Entities | THE WILLOW TREE OF HAWARDEN, INC. | 806 Central Ave, Hawarden, IA 51023 |
| Massachusetts Corporations | THE WILLOW TREE REAL ESTATE, LLC | 184 Puritan Road, Swampscott, MA 01907 |
| Indiana Business Entities | THE WILLOW TREE, INC. | P.o. Box 194, Brookston, IN 47923 |
| Colorado Business Entities | The Willow Tree, LLC | 4990 Owens Mill Circle, Stone Mountain, GA 30083 |
| Vermont Business Registrations | THE WILLOW TREE, LLC | 175 Pion Road, Fairfield, VT 05455 |
| Street Address |
8 BLOOMINGTON LN |
| City | STAFFORD |
| State | VA |
| Zip Code | 22554-7727 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134767155 | Elesia S Vanburen | Counselor | 8 Bloomington Ln, Stafford, VA 22554-7727 | 2019-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699385658 | Publix North Carolina, Lp | Durable Medical Equipment & Medical Supplies | 1640 Publix Way, Stafford, VA 22554 | 2020-08-05 |
| 1700368156 | Aws Altameemi | Dentist | 392 Garrisonville Road 205, Stafford, VA 22554 | 2018-09-02 |
| 1831680214 | Radka Loucka | Counselor | 2124 Jefferson Davis Highway, Suite 202, Stafford, VA 22554 | 2018-05-22 |
| 1205383718 | Ogiawesome | Non-emergency Medical Transport (VAN) | 109 Chesterbrook Court, Stafford, VA 22554 | 2016-09-01 |
| 1184088502 | Inina Plucer-rosario | Behavioral Analyst | 12 Monument Drive, Stafford, VA 22554 | 2016-04-12 |
| 1528451218 | Insight Psychological Services, Pllc | Counselor | 11 Hope Rd., Suite 213, Stafford, VA 22554 | 2015-03-05 |
| 1194142885 | Krystal Karin Edmonds | Behavioral Analyst | 538 Apricot Street, Stafford, VA 22554 | 2014-03-20 |
| 1851715312 | Maryann Byrne | Counselor | 108 Brandice St, Stafford, VA 22554 | 2014-02-04 |
| 1164857272 | Melissa C Keylor | Counselor | 11 Hope Road, Suite 213, Stafford, VA 22554 | 2013-09-09 |
| 1255777959 | Sophia Rodrigues | Physical Therapist | 2777 Jefferson Davis Hwy, Suite 109, Performance Physical Therapy, Stafford, VA 22554 | 2013-05-21 |
| Find all providers in zip 22554 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700499548 | Guiding Light Counseling & Consulting Pllc | Counselor | 10500 Fountain Lake Dr Apt 428, Stafford, TX 77477-3749 | 2020-08-30 |
| 1639787799 | National Consortium for Mentla Health Counselors (ncmhc) | Counselor | 2052 Jefferson Davis Hwy Ste 109, Stafford, VA 22554-7286 | 2020-07-15 |
| 1972144392 | Kevin Mack | Counselor | 638 Bold Ruler Dr, Stafford, TX 77477-6354 | 2019-10-07 |
| 1851942890 | Wellness With Dr Austin Counseling Group | Counselor | 4800 Sugar Grove Blvd Ste 607, Stafford, TX 77477-2150 | 2019-09-20 |
| 1285126714 | Emilie Ferran | Counselor | 3967 Jefferson Davis Hwy, Stafford, VA 22554-4826 | 2018-05-31 |
| 1831680214 | Radka Loucka | Counselor | 2124 Jefferson Davis Highway, Suite 202, Stafford, VA 22554 | 2018-05-22 |
| 1649638933 | James Kasten | Counselor | 306 Garrisonville Rd Ste 201, Stafford, VA 22554-1575 | 2016-02-02 |
| 1598145922 | Latoichia Juggins | Counselor | 413 Westminster Ln, Stafford, VA 22556-4583 | 2015-06-01 |
| 1528451218 | Insight Psychological Services, Pllc | Counselor | 11 Hope Rd., Suite 213, Stafford, VA 22554 | 2015-03-05 |
| 1023432374 | Rebecca Kaufman | Counselor | 24 Stoneridge Ct, Stafford, VA 22554-7915 | 2014-02-06 |
| Find all providers in STAFFORD | ||||
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| 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.