# WILLOW SLP SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578385613
- **Authorized official:** ELLE PHELPS BCBA (CCO)
- **Authorized official phone:** (720) 575-9340

## Contact information

- **Practice address:** 15520 COLLEGE BLVD, LENEXA, KS 66219-1353
- **Practice address phone:** (913) 386-5500
- **Mailing address:** 8000 S LINCOLN ST STE 10, LITTLETON, CO 80122-2725
- **Mailing address phone:** (720) 575-9340

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 235Z00000X | Speech-Language Pathologist | — | NULL | Yes |
| 235Z00000X | Speech-Language Pathologist | — | — | Yes |

## Other

- **Enumeration date:** 10/29/2024
- **Last updated:** 10/29/2024