Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Blue Willow Therapy, LLC

Organization Adult Mental Health Clinic/Center · NPI 1417629353

Blue Willow Therapy, LLC is an Adult Mental Health Clinic/Center in Chicago, Illinois. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2343 W Winona St
Chicago, IL 60625-1853
Phone: (217) 691-2760
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Mental Health Clinic/Center (primary) Taxonomy 261QM0850X

Record details

NPI number1417629353
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Taneka Taylor — Clinical Therapist · (217) 691-2760
NPI enumeratedSeptember 29, 2021
Last updated in NPPESDecember 20, 2021
Certification dateDecember 4, 2021
Mailing address2343 W Winona St Apt 2e, Chicago, IL 60625-1853

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