Willow Residential LLC
Willow Residential LLC is an Emotionally Disturbed Childrens' Residential Treatment Facility in Charlotte, North Carolina. Registered with an NPI since 2026.
- In the registry since
- 2026
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2631 Kenhill DrCharlotte, NC 28208-5912
Phone: (704) 749-4564
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Emotionally Disturbed Childrens' Residential Treatment Facility (primary) | Taxonomy 322D00000X |
|---|
Record details
| NPI number | 1154252203 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Amantii Samson — Owner · (704) 749-4564 |
| NPI enumerated | May 27, 2026 |
| Last updated in NPPES | May 27, 2026 |
| Certification date | May 27, 2026 |
| Mailing address | 2631 Kenhill Dr, Charlotte, NC 28208-5912 |
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