Walnut Hill Counseling Services LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW004508 Issued in GA

Legal business name

WALNUT HILL COUNSELING SERVICES LLC

Practice address

223 2ND St E
Suite B
Tifton, GA 31794-4493

Phone

(229) 563-6947

Fax

(229) 549-6050

NPI assigned

Dec 31, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Amanda M Hall, LCSW

Title

Owner

Phone

(229) 563-7064

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1451520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451520000000",
    "number": "1245696582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 164",
            "city": "ADEL",
            "state": "GA",
            "postal_code": "316200164",
            "telephone_number": "229-563-6947",
            "fax_number": "229-549-6050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 2ND ST E",
            "address_2": "SUITE B",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317944493",
            "telephone_number": "229-563-6947",
            "fax_number": "229-549-6050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALNUT HILL COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-31",
        "last_updated": "2015-12-31",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "229-563-7064",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW004508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Wesley W Walker, M.D.
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• Clinical Social Worker in Tifton, GA
• Providers in Tifton, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 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.