WILLOW BEND COUNSELING LLC (NPI# 1710584883) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710584883 |
| Entity Type | Organization |
| Organization Name | WILLOW BEND COUNSELING LLC |
| Practice Address |
351 Manville Rd Ste 104 Pleasantville NY 10570-2166 |
| Mailing Address |
1727 Maple Ave Peekskill NY 10566-4837 |
| Practice Telephone | 9148254800 |
| Enumeration Date | 2020-10-02 |
| Last Update Date | 2020-10-02 |
| Authorized Official Name | NICOLE GOUDREAU-GREEN (MEMBER/OWNER) |
| Authorized Official Telephone | 9148254800 |
| Authorized Official Credential | LCSW-R |
| Is Organization Subpart | N |
| 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 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | WILLOW BEND COUNSELING LLC | 1727 Maple Ave, Peekskill, Ny 10566 |
| Street Address |
351 MANVILLE RD STE 104 |
| City | PLEASANTVILLE |
| State | NY |
| Zip Code | 10570-2166 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669984472 | Jillian Anderson | Counselor | 351 Manville Rd Ste 104, Pleasantville, NY 10570-2166 | 2017-11-02 |
| 1336763341 | Talia Shiovitz | Social Worker | 351 Manville Rd Ste 104, Pleasantville, NY 10570-2166 | 2020-06-04 |
| 1487121497 | Jacqueline Russo | Psychologist | 351 Manville Rd Ste 104, Pleasantville, NY 10570-2166 | 2018-10-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356983597 | Lorraine Elizabeth Roes | Social Worker | Jcca Start Roes, 1075 Broadway, Pleasantville, NY 10570 | 2019-10-09 |
| 1700376720 | Pilar B. Wellansky | Psychologist | 400 Bedford Road, Room #207, Pleasantville, NY 10570 | 2018-05-15 |
| 1073021606 | Seokmin Han | Counselor | 411 Manville Rd, Pleasantville, NY 10570 | 2018-01-17 |
| 1891186771 | Daria Joan Zetlen | Social Worker | 51 Cedar Ave, Pleasantville, NY 10570 | 2015-02-12 |
| 1023437753 | Sheree L Loftus | Nurse Practitioner | 4 Stella Lane, Pleasantville, NY 10570 | 2014-04-09 |
| 1508123639 | Philip B. Blank Jr. D.o. P.C. | Dermatology | 325 Manville Rd., Pleasantville, NY 10570 | 2012-04-13 |
| 1760759476 | Elizabeth N. Sousa | Family Medicine | 130, Lake Shore Drive, Pleasantville, NY 10570 | 2011-11-23 |
| 1265714414 | Josephine B Reyes | Registered Nurse | 25 Booth Street, Pleasantville, Pleasantville, NY 10570 | 2011-09-14 |
| 1619121175 | Karen Ann Teters | Physical Therapist | 54 Washington Ave, Pleasantville, NY 10570 | 2008-11-11 |
| 1447411400 | Christina A. Repp | Social Worker | 351 Manville Rd., Suite 109, Pleasantville, NY 10570 | 2008-06-23 |
| Find all providers in zip 10570 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366908303 | Clinical Specialist, LLC | Clinic/Center | 1420 S New Rd, Pleasantville, NJ 08232-3728 | 2019-02-14 |
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| 1942807276 | Jason Diana Lmsw | Clinic/Center | 50 West Hawthorne Ave 2nd Floor, Valley Stream, NY 11580 | 2020-10-09 |
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| 1962015248 | Melissa Gottlieb | Clinic/Center | 285 Livingston St Fl 1, Brooklyn, NY 11217-1006 | 2020-08-26 |
| 1235749409 | Wong Thies Psychology, Pllc | Clinic/Center | 11050 71st Rd Ste 1m, Forest Hills, NY 11375-4972 | 2020-08-03 |
| 1316557606 | Calm Mind Psychiatric Np Services of The Finger Lakes Pllc | Clinic/Center | 840 Hanshaw Rd Ste 9, Ithaca, NY 14850-1589 | 2020-08-03 |
| 1023626678 | Ra Psychiatric Np Services Pllc | Clinic/Center | 2722 Hering Ave, Bronx, NY 10469-5321 | 2020-07-20 |
| Find all providers with the same taxonomy | ||||
| City | PLEASANTVILLE |
| Zip Code | 10570 |
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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.