WILLIAM C WENNERHOLM LCSW
NPI 1912198128
Counselor - Mental Health in Prescott, AZ

Active since August 05, 2007
1660 WILLOW CREEK RD, SUITE B, PRESCOTT, AZ 86301(928) 771-9424(928) 717-1634 Get Directions Write a Review

NPPES record last updated: August 13, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About William C Wennerholm Lcsw NPPES

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

WILLIAM C WENNERHOLM LCSW (NPI 1912198128) is an individual mental health provider in Prescott, Arizona, licensed in Arizona (AZ LCSW 1943) and active in the NPI registry since August 2007.

NPPES Registry Identity

NPI1912198128
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameWILLIAM C WENNERHOLMCredential: LCSW
Location Address1660 WILLOW CREEK RD, SUITE BPrescott, AZ 86301-1124
Mailing Address1660 Willow Creek Rd, Suite BPrescott, AZ 86301-1124 · (928) 771-9424 · Fax (928) 717-1634
Fax(928) 717-1634
Sole ProprietorYes
Enumeration DateAugust 5, 2007
Last NPPES UpdateAugust 13, 2007
NPI 1912198128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in AZ · AZ LCSW 1943
1660 WILLOW CREEK RD, Prescott, AZ 86301

Accepted Insurance

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Community/Behavioral Health
1660 WILLOW CREEK RD, SUITE A
PRESCOTT, AZ 86301
Psychologist (Clinical)
1660 WILLOW CREEK RD, SUITE A
PRESCOTT, AZ 86301
Counselor (Addiction (Substance Use Disorder))
1660 WILLOW CREEK RD, SUITE A
PRESCOTT, AZ 86301

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1912198128, enumerated as an "individual" on August 05, 2007.

The provider is located at 1660 WILLOW CREEK RD SUITE B PRESCOTT, AZ 86301 and the phone number is (928) 771-9424.

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

The provider might be accepting Accepts: Blue Cross Blue Shield of Arizona. Please consult your insurance carrier or call the provider to verify.