Active NPI
White Willow Counseling and Recovery Center
- Professional Counselor
- Savannah, GA
National Provider Identifier
1184830200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC006991
- 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, 2015
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6006329 | Medicaid | NC |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Professional Counselor
- Lansdale, PA
- NPI 1225182223
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.