MEDICARE: A WILLOW BENDS, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	101YP2500X	Professional Counselor
2	101YM0800X	Mental Health Counselor
3	101YA0400X	Addiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number	:	1780055574
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A WILLOW BENDS, LLC

Provider Business Mailing Address
First Line	:	PO BOX 153
Second Line	:
City	:	WOODLAND PARK
State	:	CO
Zip	:	80866-0153
Country	:	US
Telephone Number	:	719-650-8114
Fax Number	:	719-452-3888

Provider Business Practice Location Address
First Line	:	400 W MIDLAND AVE
Second Line	:	SUITE 200
City	:	WOODLAND PARK
State	:	CO
Zip	:	80863-3144
Country	:	US
Telephone Number	:	719-650-8114
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	SCHEILA WATSON
Credential	:	LPC, CACIII
Telephone Number	:	719-650-8114

Provider Enumeration Date	:	10/19/2015
Last Update Date	:	01/13/2017

Similar Medicare Providers

1275791949 — KATHERINE DIANE CLARK LPC
Practice Location Address:

400 W MIDLAND AVE , SUITE 202
WOODLAND PARK, CO
80863-3144

Practice Phone: 719-687-2880
Practice Fax: 719-686-0738

1174821623 — ST FRANCIS WOODS LLC
Practice Location Address:

400 W MIDLAND AVE , POB. 5430
WOODLAND PARK, CO
80863-3144

Practice Phone: 719-686-8140
Practice Fax: 719-686-8141

1063710432 — MID-STATES SENIOR LIVING LLC
Practice Location Address:

400 W MIDLAND AVE , POB 5430
WOODLAND PARK, CO
80863-3144

Practice Phone: 719-686-8140
Practice Fax: 719-686-8141

1427449974 — CARRIE WATSON MA, LPC
Practice Location Address:

400 W MIDLAND AVE , SUITE 160 A&B
WOODLAND PARK, CO
80863-3144

Practice Phone: 719-963-5744
Practice Fax: 719-309-1323

1093168650 — ASPIRE COUNSELING, LLC
Practice Location Address:

400 W MIDLAND AVE , SUITE 160 A&B
WOODLAND PARK, CO
80863-3144

Practice Phone: 719-963-5744
Practice Fax: 719-309-1323

1306398920 — CHRISTINA PALMER LPC
Practice Location Address:

400 W MIDLAND AVE # 250
WOODLAND PARK, CO
80863-3144

Practice Phone: 719-238-5800
Practice Fax:

Directions to “A WILLOW BENDS, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.