Willow Creek Substance Abuse Program

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

License

LPC003706 Issued in GA

Legal business name

WILLOW CREEK SUBSTANCE ABUSE PROGRAM

Practice address

10 Kiker St
Ellijay, GA 30540-3700

Phone

(706) 636-2692

Fax

(760) 636-2694

NPI assigned

Mar 25, 2009

Organization subpart

No

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

Authorized official

Name

Larry W Hooks, LPCNPI 1407919889

Title

Director

Phone

(706) 636-2692

Specialties & licenses 1

Addresses

Practitioners 1

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

• Larry Hooks, LPC

  • Mental Health Counselor
  • Ellijay, GA
  • NPI 1407919889
  NPD (past) Authorized official

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

{
    "created_epoch": "1237939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237939200000",
    "number": "1427290261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 KIKER ST",
            "city": "ELLIJAY",
            "state": "GA",
            "postal_code": "305403700",
            "telephone_number": "706-636-2692",
            "fax_number": "760-636-2694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 KIKER ST",
            "city": "ELLIJAY",
            "state": "GA",
            "postal_code": "305403700",
            "telephone_number": "706-636-2692",
            "fax_number": "760-636-2694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOW CREEK SUBSTANCE ABUSE PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-25",
        "last_updated": "2009-03-25",
        "status": "A",
        "authorized_official_last_name": "HOOKS",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "706-636-2692",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "GA",
            "license": "LPC003706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wesley J Burke DDS and Cynthia P Hall DMD
• James William White Jr., CRNA
• Jo A White
• Carley Whitlow
• Willow Creek Adolescent Substance Abuse Program
• Cassandra L Wilson, MD
• Judy Carol Wright
• Xyz Medical
• Grayson York
• Suzanne Young, APRN, WHNP-BC

• Substance Use Disorder Rehabilitation Clinic/Center in Ellijay, GA
• Providers in Ellijay, GA by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2009; 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.