1. Home
  2. Directory
  3. Illinois
  4. Chicago
  5. Clinic Center
  6. NPI Profile

BLUE WILLOW THERAPY, LLC
NPI 1417629353
Clinic/Center - Adult Mental Health in Chicago, IL

Active since September 29, 2021
2343 W WINONA ST, CHICAGO, IL 60625(217) 691-2760 Get Directions Write a Review

NPPES record last updated: December 20, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 20, 2021, Sep 29, 2021 (2 updates tracked since 2021).

About Blue Willow Therapy, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLUE WILLOW THERAPY, LLC (NPI 1417629353) is a healthcare organization registered as an adult mental health in Chicago, Illinois and active in the NPI registry since September 2021. The organization lists Taneka Taylor, Clinical Therapist, as its authorized official.

NPPES Registry Identity

NPI1417629353
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameBLUE WILLOW THERAPY, LLC
Location Address2343 W WINONA STChicago, IL 60625-1853
Mailing Address2343 W Winona St Apt 2eChicago, IL 60625-1853 · (217) 691-2760
Phone(217) 691-2760
Organization SubpartNo
Authorized OfficialTaneka TaylorClinical Therapist · (217) 691-2760
Enumeration DateSeptember 29, 2021
Last NPPES UpdateDecember 20, 20212 updates tracked since enumeration
NPPES CertifiedDecember 4, 2021
✔ NPI 1417629353 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
2343 W WINONA ST, Chicago, IL 60625
Open in Google Maps ↗

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Blue Willow Therapy, LLC's NPI number?

The NPI number for Blue Willow Therapy, LLC is 1417629353. It was assigned to this organization in the NPPES registry on September 29, 2021.

Where is Blue Willow Therapy, LLC located?

Blue Willow Therapy, LLC is located at 2343 W Winona St, Chicago, IL 60625. The listed phone number is (217) 691-2760.

What is Blue Willow Therapy, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

When was this NPI record last updated?

The NPPES record for Blue Willow Therapy, LLC was last updated on December 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.