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General NPI Number Information
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NPI Number | 1356208938
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Entity Type | Organization
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Legal Business Name | WILLOW ROOTS THERAPY PLLC
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Dates
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Enumeration Date | 01/06/2026
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Last Update Date | 01/06/2026
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Provider Practice Location Address
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Address Line | 3701 LE FEVER DR
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City | FORT COLLINS
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State | CO
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Zip | 80528-4607
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Country | US
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Telephone | 970-670-0673
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Fax |
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Provider Business Mailing Address
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Address Line | 3701 LE FEVER DR
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City | FORT COLLINS
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State | CO
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Zip | 80528-4607
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SARAH VANNATTA
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Credential |
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Telephone | 970-670-0673
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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