Twi Counseling

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

LPC004269 Issued in GA

Legal business name

TWI COUNSELING

Practice address

506 Donovan Street
Vidalia, GA 30474-0178

Phone

(912) 537-9280

Fax

(912) 537-9440

NPI assigned

Mar 9, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Thadeus Mandrall Holloway, M.ED, M.S.

Title

Vice President

Phone

(912) 423-9179

Specialties & licenses 2

Addresses

Other names 1

• Tony Wardlaw Incorporation Former legal business name

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226448000000",
    "number": "1609908581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 178",
            "city": "VIDALIA",
            "state": "GA",
            "postal_code": "304740178",
            "telephone_number": "912-537-9280",
            "fax_number": "912-537-9440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 DONOVAN STREET",
            "city": "VIDALIA",
            "state": "GA",
            "postal_code": "304740178",
            "telephone_number": "912-537-9280",
            "fax_number": "912-537-9440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWI COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2008-11-12",
        "status": "A",
        "authorized_official_last_name": "HOLLOWAY",
        "authorized_official_first_name": "THADEUS",
        "authorized_official_middle_name": "MANDRALL",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "912-423-9179",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.ED, M.S."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "GA",
            "license": "LPC004269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tony Wardlaw Incorporation",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Total Renal Care Inc
• Tots to Teens Medical Center
• Transport America Ambulance Service LLC
• Tri-County Clinic of Chiropractic, LLC
• Heather Turner, DC
• Twin Oaks
• Twin Oaks Living Communities
• Swayamprabha S Tyagi, MD
• Universal Community Health System LLC
• Ashley Upshaw, PHARM.D.

• Case Management Agency in Vidalia, GA
• Providers in Vidalia, GA by specialty
• Case Management Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2008; 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.