National Provider Identifier
Willow Grove Counseling, Lcsw, PLLC
Willow Grove Counseling, Lcsw, PLLC is listed in the NPPES registry with a primary specialty of Counselor in Tonawanda, NY and a listed phone number of (716) 225-4789.
Source: public NPPES record, last updated June 22, 2023. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1326724782
- Provider Type
- Organization
- Primary Specialty
- Counselor
- Enumeration Date
- June 22, 2023
- Last Updated
- June 22, 2023
Practice Location
- 1965 Sheridan Dr Fl 2
- Tonawanda, NY 14223-1251
Phone: (716) 225-4789
Mailing Address
- 166 Jewett Pkwy
- Buffalo, NY 14214-2336
Authorized Official
- Name
- Mr. Wayne N. Brown
- Title
- Founder / Counselor
- Credentials
- LCSW, EDM
- Phone
- (716) 225-4789
Specialties
- Counselor (101Y00000X)
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Full Record
- NPI
- 1326724782
- Entity Type
- Organization
- EIN
- <UNAVAIL>
- Organization Name
- Willow Grove Counseling, Lcsw, PLLC
- Mailing Street Address
- 166 Jewett Pkwy
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14214-2336
- Mailing Country
- US
- Mailing Phone
- (716) 225-4789
- Practice Street Address
- 1965 Sheridan Dr Fl 2
- Practice City
- Tonawanda
- Practice State
- NY
- Practice ZIP Code
- 14223-1251
- Practice Country
- US
- Practice Phone
- (716) 225-4789
- Enumeration Date
- June 22, 2023
- Last Updated
- June 22, 2023
- Authorized Official Last Name
- Brown
- Authorized Official First Name
- Wayne
- Authorized Official Middle Name
- N.
- Authorized Official Title
- Founder / Counselor
- Authorized Official Phone
- (716) 225-4789
- Organization Subpart
- No
- Authorized Official Name Prefix Text
- Mr.
- Authorized Official Credential Text
- LCSW, EDM
- Taxonomy Group 1
- 193400000X Multiple Single Specialty Group
- Certification Date
- June 22, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Counselor (101Y00000X)