Willow Bend Family Services LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

WILLOW BEND FAMILY SERVICES LLC

Practice address

301 Abby Rd
Thibodaux, LA 70301-6020

Phone

(985) 448-0764

Fax

(985) 448-1912

NPI assigned

May 22, 2017

Organization subpart

No

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

Authorized official

Name

Paul Ganier, LPCNPI 1417918723

Title

Owner

Phone

(985) 448-0764

Specialties & licenses 1

Addresses

Other names 1

• Paul Ganier, LPC, PhD Former legal business name

Medicare fee-for-service enrollment

Enrolled in LA2 enrollments

Enrollment records 2

Practitioners 2

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

• Paul J Ganier, LPC,PHD

  • Professional Counselor
  • Thibodaux, LA
  • NPI 1417918723
  Medicare reassignment NPD Authorized official
• Diane Kramarz

  • Professional Counselor
  • Thibodaux, LA
  • NPI 1003343955
  Medicare reassignment NPD

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

{
    "created_epoch": "1495411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521417600000",
    "number": "1316474356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1536",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704701536",
            "telephone_number": "985-635-6943",
            "fax_number": "985-635-6948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 ABBY RD",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703016020",
            "telephone_number": "985-448-0764",
            "fax_number": "985-448-1912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOW BEND FAMILY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-22",
        "last_updated": "2018-03-19",
        "status": "A",
        "authorized_official_last_name": "GANIER",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "985-448-0764",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Paul Ganier, LPC, PhD",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Melissa Marie Williams, LPC
• Mercedes Williams, MS
• Rose M. Williams, MSW
• Kimberly Williamson, BSW
• Raegan Willis, ATC
• Willow Mina
• Cherry Wilmore
• Sherry Marie Wilmore
• Wilson Transportation
• Jerome Wilson

• Professional Counselor in Thibodaux, LA
• Providers in Thibodaux, LA by specialty
• Professional Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.