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

Willow and Ivy Counseling Services, PLLC

Organization Professional Counselor · NPI 1104509389

Willow and Ivy Counseling Services, PLLC is a Professional Counselor in Phoenix, Arizona. Works from 2 locations. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11201 N Tatum Blvd # 912020
Phoenix, AZ 85028-6036
Phone: (623) 252-9118
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 52618 Old East End Rd, Homer, AK 99603-9664 — (623) 252-9118

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X

Record details

NPI number1104509389
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jessica Koh — Owner · (206) 658-7951
Other names Willow And Ivy Counseling
NPI enumeratedAugust 14, 2023
Last updated in NPPESAugust 14, 2023
Certification dateAugust 13, 2023
Mailing address11201 N Tatum Blvd # 912020, Phoenix, AZ 85028-6036

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