Organization
A WILLOW BENDS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCHEILA WATSON LPC, CACIII (EXECUTIVE DIRECTOR)
(719) 650-8114
Entity
Organization
Contact information
Practice address
400 W MIDLAND AVE, SUITE 200, WOODLAND PARK, CO 80863-3144
(719) 650-8114
Mailing address
PO BOX 153, WOODLAND PARK, CO 80866-0153
(719) 650-8114
(719) 452-3888
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
10/19/2015
Last updated
01/13/2017
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