Organization Name: | A WILLOW BENDS, LLC |
NPI Number: | 1043516495 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SCHEILA FARNSWORTH (DIRECTOR) |
Mailing Address: | 316 E Saint Vrain St Colorado Springs |
State: | CO US |
Postal Code: | 809031124 |
Phone Number: | 7194421883 |
Fax Number: | 7194488522 |
NPI Enumeration Date: | 02/02/2011 |
NPI Last Update Date: | 02/02/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 5000 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |