Willow Lane Counseling, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

WILLOW LANE COUNSELING, LLC

Practice address

670 N Orlando Ave Ste 103
Maitland, FL 32751-4465

Phone

(321) 209-3437

NPI assigned

Mar 31, 2020

Last updated

Mar 31, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Erin Luginbuhl Burkholder, LMHCNPI 1942618384

Title

Owner

Phone

(321) 209-3237

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Erin Luginbuhl Burkholder, LMHC

  • Mental Health Counselor
  • Maitland, FL
  • NPI 1942618384
  NPD Authorized official
• Aimee Miller, AUD, CCC-A, LMHC

  • Mental Health Counselor
  • Orlando, FL
  • NPI 1437032810
  NPD (past)

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

{
    "created_epoch": "1585612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585612800000",
    "number": "1538797964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3220 ANDERSON PL",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328036744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 N ORLANDO AVE STE 103",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327514465",
            "telephone_number": "321-209-3437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOW LANE COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-31",
        "last_updated": "2020-03-31",
        "certification_date": "2020-03-31",
        "status": "A",
        "authorized_official_last_name": "LUGINBUHL BURKHOLDER",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-209-3237",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shonteena Janell Williams
• Tarice Cheryel Williams, APRN
• Jackson Hobbs Williamson
• Matthew Joseph Williamson
• Sandra Cather Williamson, CNM, ARNP, MSN
• Willow Path ABA & Learning LC
• Robert Allan Willson, O.D.
• Aliesha Djanea Wilson-Skeete
• Akiva L Wilson
• Bridgette Wilson

• Mental Health Counselor in Maitland, FL
• Providers in Maitland, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2020; 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.