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WILLOW RIVER WELLNESS, LLC
NPI 1922725472
Counselor - Mental Health in Sarasota, FL

Active since October 25, 2022
5775 AVISTA DR, SARASOTA, FL 34243(352) 238-0974 Get Directions Write a Review

NPPES record last updated: October 25, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Willow River Wellness, Llc NPPES

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

WILLOW RIVER WELLNESS, LLC (NPI 1922725472) is a healthcare organization registered as a mental health in Sarasota, Florida and active in the NPI registry since October 2022. The organization lists Robert Foreman, Billing, as its authorized official.

NPPES Registry Identity

NPI1922725472
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameWILLOW RIVER WELLNESS, LLC
Location Address5775 AVISTA DRSarasota, FL 34243-3616
Mailing Address5775 Avista DrSarasota, FL 34243-3616 · (352) 238-0974
Phone(352) 238-0974
Organization SubpartNo
Authorized OfficialRobert ForemanBilling · (630) 313-0069
Enumeration DateOctober 25, 2022
NPPES CertifiedOctober 25, 2022
✔ NPI 1922725472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
5775 AVISTA DR, Sarasota, FL 34243
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

KIARA LAINE AZEVEDO
Social Worker (Clinical)
5775 AVISTA DR
SARASOTA, FL 34243
Manatee County (941) 404-6304

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 Willow River Wellness, LLC's NPI number?

The NPI number for Willow River Wellness, LLC is 1922725472. It was assigned to this organization in the NPPES registry on October 25, 2022.

Where is Willow River Wellness, LLC located?

Willow River Wellness, LLC is located at 5775 Avista Dr, Sarasota, FL 34243. The listed phone number is (352) 238-0974.

What is Willow River Wellness, LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Willow River Wellness, LLC was last updated on October 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.