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

Willow Behavioral Health LLC

Organization Adult Mental Health Clinic/Center · NPI 1174491369

Willow Behavioral Health LLC is an Adult Mental Health Clinic/Center in Madison, Wisconsin. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
2
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

4610 S Biltmore Ln Ste 106-107
Madison, WI 53718-2152
Phone: (617) 733-4233
Fax: (772) 679-0244
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Substance Use Disorder Rehabilitation Clinic/Center (primary) Taxonomy 261QR0405X
Adult Mental Health Clinic/Center Taxonomy 261QM0850X

Record details

NPI number1174491369
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brandon Suprenant — Ceo · (617) 733-4233
NPI enumeratedOctober 28, 2025
Last updated in NPPESOctober 28, 2025
Certification dateOctober 28, 2025
Mailing address4610 S Biltmore Ln Ste 106-107, Madison, WI 53718-2152

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