# WILLOW GROVE MENTAL HEALTH, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Elizabeth Waggoner, PMHNP, Elizabeth Waggoner PMHNP-BC LLC, Elizabeth Waggoner, PMHNP-BC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023502549
- **Authorized official:** MARY ELIZABETH WAGGONER APRN (PRESIDENT)
- **Authorized official phone:** (720) 262-9100

## Contact information

- **Practice address:** 2101 S BLACKHAWK ST STE 240, AURORA, CO 80014-1475
- **Practice address phone:** (720) 262-9100
- **Practice address fax:** (720) 262-9101
- **Mailing address:** 2101 S BLACKHAWK ST STE 240, AURORA, CO 80014-1475
- **Mailing address phone:** (720) 262-9100
- **Mailing address fax:** (720) 262-9101

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 09923992 | CO | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 0770900 | CO | Yes |

## Other

- **Enumeration date:** 06/18/2018
- **Last updated:** 11/25/2025