Willowsway, LLC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

LPC3186 Issued in GA

Legal business name

WILLOWSWAY, LLC

Practice address

105 William Way
Macon, GA 31216-6160

Phone

(478) 361-2874

Fax

(478) 781-1395

NPI assigned

Jun 1, 2016

Last updated

Jun 1, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gera Lynn Irvine, LPC,CEAP,NPI 1346691540

Title

Therapist

Phone

(478) 361-2875

Specialties & licenses 1

Addresses

Tax ID family

Willowsway LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Wyllowsway, LLC

  • Community/Behavioral Health Agency
  • Macon, GA
  • NPI 1619326584
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gera Lynn Irvine, LPC

  • Professional Counselor
  • Macon, GA
  • NPI 1346691540
  NPD (past) Authorized official

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

{
    "created_epoch": "1464739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464739200000",
    "number": "1174971055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 PARK DR",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310885167",
            "telephone_number": "478-327-7683",
            "fax_number": "478-781-1395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 WILLIAM WAY",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312166160",
            "telephone_number": "478-361-2874",
            "fax_number": "478-781-1395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOWSWAY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-01",
        "last_updated": "2016-06-01",
        "status": "A",
        "authorized_official_last_name": "IRVINE",
        "authorized_official_first_name": "GERA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "478-361-2875",
        "authorized_official_credential": "LPC,CEAP,"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "GA",
            "license": "LPC3186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John T Williamson, P.T.
• Rondrick Eshon Williamson
• Paul D Willis, LDO
• Sydney Willis
• Willow Creek Real Estates Properties
• Wilson Counseling Service, LLC
• Jeffrey A Wilson-Reese, PSY.D.
• Amber A Wilson, FNP-C
• Annjanette Wilson
• Candice Newton Wilson, PT

• Case Management Agency in Macon, GA
• Providers in Macon, GA by specialty
• Case Management Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2016; 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.