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

Willow Bay Therapy, LLC

Organization Mental Health Occupational Therapist · NPI 1104354406

Willow Bay Therapy, LLC is a Mental Health Occupational Therapist in Plymouth, Minnesota. Works from 2 locations. Licensed in Minnesota.

Licensed in
MN
In the registry since
2017
Specialties on file
3
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

12805 Highway 55 Ste 216
Plymouth, MN 55441-3859
Phone: (612) 440-1450
Fax: (612) 524-5563
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3441 Cedar Ave S, Minneapolis, MN 55407-2336 — (612) 440-1450

Specialties & licences

Mental Health Clinic/Center (Including Community Mental Health Center) (primary) Taxonomy 261QM0801X · Licence 3192 (MN)
Mental Health Occupational Therapist Taxonomy 225XM0800X
Pediatric Occupational Therapist Taxonomy 225XP0200X

Record details

NPI number1104354406
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joanna Kelly — Owner/Psychotherapist · (612) 961-1015
NPI enumeratedMay 31, 2017
Last updated in NPPESFebruary 23, 2026
Certification dateFebruary 23, 2026
Mailing address3933 Bloomington Ave, Minneapolis, MN 55407-2843

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