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

Willow Glen

Organization Addiction (Substance Use Disorder) Counselor · NPI 1518843853

Willow Glen is an Addiction (Substance Use Disorder) Counselor in Cleveland, Ohio. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
3

Practice location Address checks out

30800 Chagrin Blvd
Cleveland, OH 44124-5925
Phone: (216) 329-1052
Show map & directions

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

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X
Clinical Social Worker Taxonomy 1041C0700X

Record details

NPI number1518843853
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alicia Blackley — Lpcc · (216) 329-1052
NPI enumeratedAugust 13, 2025
Last updated in NPPESAugust 13, 2025
Certification dateAugust 13, 2025
Mailing address30800 Chagrin Blvd, Cleveland, OH 44124-5925

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