WILLOW INTEGRATIVE WELLNESS; NPI #1225825490

Contact Information

WILLOW INTEGRATIVE WELLNESS

216 E RIDGEWOOD AVE STE 3B
RIDGEWOOD, NJ 07450

Phone: 551-288-6543
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Mental Health (Including Community Mental Health Center)	261QM0801X	B4[14]	Community Mental Health Center

Indicates primary specialty

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NPI Profile & details for WILLOW INTEGRATIVE WELLNESS

NPI Number	`1225825490`
LBN Legal business name	WILLOW INTEGRATIVE WELLNESS
Authorized official	EMILY COYLE - (PSYCHIATRIC NURSE PRACTITIONER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	04/22/2025
Last updated	02/18/2026 - About 4 months ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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