WILLOW CREEK WELLNESS LLC
NPI 1710466529
Social Worker - Clinical in Colorado Springs, CO

Active since August 13, 2018
3630 SINTON RD STE 320, COLORADO SPRINGS, CO 80907(877) 881-4551(719) 960-2405 Get Directions Write a Review

NPPES record last updated: March 23, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 14, 2021, Jul 30, 2021, Feb 6, 2020 and 1 more (4 updates tracked since 2018).

About Willow Creek Wellness Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WILLOW CREEK WELLNESS LLC (NPI 1710466529) is a healthcare organization registered as a clinical in Colorado Springs, Colorado and active in the NPI registry since August 2018. The organization lists Owen Eustice, Owner, as its authorized official.

NPPES Registry Identity

NPI1710466529
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameWILLOW CREEK WELLNESS LLC
Location Address3630 SINTON RD STE 320Colorado Springs, CO 80907-5070
Mailing Address3630 Sinton Rd Ste 320Colorado Springs, CO 80907-5070 · (877) 881-4551 · Fax (719) 960-2405
Fax(719) 960-2405
Organization SubpartNo
Authorized OfficialOwen EusticeOwner · (303) 385-7920
Enumeration DateAugust 13, 2018
Last NPPES UpdateMarch 23, 20224 updates tracked since enumeration
NPPES CertifiedMarch 23, 2022
NPI 1710466529 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in CO · 09924585
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
3630 SINTON RD STE 320, Colorado Springs, CO 80907

Other Identifiers 1

Medicaid9000173251CO

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
3630 SINTON RD STE 320
COLORADO SPRINGS, CO 80907
Social Worker (Clinical)
3630 SINTON RD STE 320
COLORADO SPRINGS, CO 80907
Social Worker (Clinical)
3630 SINTON RD STE 320
COLORADO SPRINGS, CO 80907
Nurse Practitioner (Family)
3630 SINTON RD STE 320
COLORADO SPRINGS, CO 80907

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Willow Creek Wellness LLC's NPI number?

The NPI number for Willow Creek Wellness LLC is 1710466529. It was assigned to this organization in the NPPES registry on August 13, 2018.

Where is Willow Creek Wellness LLC located?

Willow Creek Wellness LLC is located at 3630 Sinton Rd Ste 320, Colorado Springs, CO 80907. The listed phone number is (877) 881-4551.

What is Willow Creek Wellness LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Willow Creek Wellness LLC was last updated on March 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.