| Willow Roots, Ltd. | |
|
3320 W Eisenhower Blvd Loveland CO 80537-9176 | |
| (970) 689-4620 | |
| Not Available |
| Full Name | Willow Roots, Ltd. |
|---|---|
| Speciality | Clinic/Center |
| Location | 3320 W Eisenhower Blvd, Loveland, Colorado |
| Authorized Official Name and Position | Kelly Erica Lapointe (PMHNP-BC) |
| Authorized Official Contact | 9706894620 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Willow Roots, Ltd. 2901 Elevado Ct Loveland CO 80538-7900 Ph: (970) 689-4620 | Willow Roots, Ltd. 3320 W Eisenhower Blvd Loveland CO 80537-9176 Ph: (970) 689-4620 |
| NPI Number | 1194304097 |
|---|---|
| Provider Enumeration Date | 04/07/2021 |
| Last Update Date | 04/07/2021 |
| Certification Date | 04/07/2021 |
| Medicare PECOS PAC ID | 3173932761 |
|---|---|
| Medicare Enrollment ID | O20210512000454 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194304097 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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