OrganizationGreen Willow Counseling, LlcSocial WorkerBehavioral Health & Social Service ProvidersPractice Address5802 S 900 E Ste 9, Murray, UT 84121-1644(801) 717-6428PECOS EnrollmentBased on the most recent information from CMS, provider Green Willow Counseling, Llc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1356983399Provider TypeOrganizationFull NameGreen Willow Counseling, LlcSubpartNoEnumeration Date10/10/2019Last Updated10/10/2019Contact InformationPractice LocationPractice Address5802 S 900 E Ste 9, Murray, UT 84121-1644Phone(801) 717-6428FaxUnlisted FaxMailing LocationMailing AddressPO Box 17252, Holladay, UT 84117-0252PhoneUnlisted PhoneFaxUnlisted FaxAuthorized OfficialNameOlson, Elana (Owner)Phone(801) 717-6428Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerCode101YM0800XDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerCode103T00000XDescriptionPsychologistBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerCode103TA0400XDescriptionPsychologistBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerCode104100000XDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerCode106H00000XDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer