Organization
WILLOW GROVE MENTAL HEALTH, INC.
Active
Other names
Elizabeth Waggoner, PMHNP, Elizabeth Waggoner PMHNP-BC LLC, Elizabeth Waggoner, PMHNP-BC
Organization subpart
No
Provider details
NPI number
Authorized official
MARY ELIZABETH WAGGONER APRN (PRESIDENT)
(720) 262-9100
Entity
Organization
Contact information
Practice address
2101 S BLACKHAWK ST STE 240, AURORA, CO 80014-1475
(720) 262-9100
(720) 262-9101
Mailing address
2101 S BLACKHAWK ST STE 240, AURORA, CO 80014-1475
(720) 262-9100
(720) 262-9101
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
09923992
CO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0770900
CO
Other
Enumeration date
06/18/2018
Last updated
11/25/2025
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