Organization Active NPI

White Willow Counseling and Recovery Center

  • Professional Counselor
  • Savannah, GA
National Provider Identifier
1184830200
Registry record updated Jan 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC006991 Issued in GA
Legal business name
WHITE WILLOW COUNSELING AND RECOVERY CENTER
Practice address
7505 Waters Ave
Ste F6
Savannah, GA 31406-3825
Phone
(912) 662-0605
NPI assigned
May 15, 2007
Last updated
Jan 23, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2015

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

Authorized official

Name
Ms. Anna Dwyer Skinner, M.ED,NCC, LPC, CAADC
Title
Clinical Director
Phone
(912) 662-0605

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC006991 GA Primary

Addresses

Primary practice location

7505 Waters Ave
Ste F6
Savannah, GA 31406-3825

Mailing address

7505 Waters Ave
Ste F6
Savannah, GA 31406-3825
Phone (912) 662-0605

Other identifiers 1

IdentifierTypeStateIssuer
6006329MedicaidNC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421971200000",
    "number": "1184830200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7505 WATERS AVE",
            "address_2": "STE F6",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314063825",
            "telephone_number": "912-662-0605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7505 WATERS AVE",
            "address_2": "STE F6",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314063825",
            "telephone_number": "912-662-0605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE WILLOW COUNSELING AND RECOVERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2015-01-23",
        "status": "A",
        "authorized_official_last_name": "SKINNER",
        "authorized_official_first_name": "ANNA",
        "authorized_official_middle_name": "DWYER",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "912-662-0605",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.ED,NCC, LPC, CAADC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC006991",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6006329",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2015; 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.