MEDICARE: WILLOWS COUNSELING LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	12669667	OTHER	CO	CAQH
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1891457685
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WILLOWS COUNSELING LLC

Provider Business Mailing Address
First Line	:	5540 N ACADEMY BLVD STE 110
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80918-3682
Country	:	US
Telephone Number	:	719-204-5112
Fax Number	:

Provider Business Practice Location Address
First Line	:	5540 N ACADEMY BLVD STE 110
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80918-3682
Country	:	US
Telephone Number	:	719-204-5112
Fax Number	:

Authorized Official
Title or Position	:	OWNER/COUNSELOR
Name	:	MS. VALARIE BRUNO
Credential	:	MA, LPC
Telephone Number	:	719-204-5112

Provider Enumeration Date	:	10/08/2021
Last Update Date	:	12/02/2025

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Directions to “WILLOWS COUNSELING LLC ” Practice Location

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