Organization
WILLOW COLLECTIVE FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MADDIE ELIZABETH (THERAPIST/COO)
(360) 265-0578
Entity
Organization
Contact information
Practice address
375 E HORSETOOTH RD BLDG 6201, FORT COLLINS, CO 80525-6800
(970) 657-4730
Mailing address
375 E HORSETOOTH RD BLDG 6201, FORT COLLINS, CO 80525-6800
(970) 657-4730
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
10/26/2023
Last updated
10/26/2023
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