Organization Active NPI

Willow Counseling and Wellness PLLC

  • Clinical Social Worker
  • Gastonia, NC
National Provider Identifier
1003593492
Registry record updated Jun 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
WILLOW COUNSELING AND WELLNESS PLLC
Practice address
3434 S New Hope Rd
Gastonia, NC 28056-8324
Phone
(980) 292-2481
NPI assigned
Jun 28, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Alyson Flint, LCSWANPI 1205509155
Title
Owner/Member
Phone
(980) 292-2481

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

3434 S New Hope Rd
Gastonia, NC 28056-8324

Mailing address

3659 Saint Andrews LN
Gastonia, NC 28056-7571
Phone (980) 292-2481

National Provider Directory

National Provider Directory

Locations

3434 S New Hope Rd
Gastonia, NC 28056
Phone (980) 292-2481

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1687910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687910400000",
    "number": "1003593492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3659 SAINT ANDREWS LN",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280567571",
            "telephone_number": "980-292-2481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3434 S NEW HOPE RD",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280568324",
            "telephone_number": "980-292-2481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOW COUNSELING AND WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-28",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A",
        "authorized_official_last_name": "FLINT",
        "authorized_official_first_name": "ALYSON",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "980-292-2481",
        "authorized_official_credential": "LCSWA"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gastonia, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.