Willow Bloom Therapy LLC
NPI 1518742485ActiveOrganization· Speech-Language Pathologist· Las Cruces, NM
Speech-Language Pathologist in Las Cruces, New Mexico, registered in NPPES in August 2023. The authorized official on file is Maria Leslie Wandemberg, M.A., CCC-SLP, Owner/Partner.
Overview
| NPI | 1518742485 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 29, 2023 |
| Last updated in NPPES | Aug 29, 2023 |
| Certified by provider | Aug 29, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Speech-Language Pathologist Primary | 235Z00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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