Willow Lane Health LLC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

WILLOW LANE HEALTH LLC

Practice address

1288 Blue Lake Dr
Frisco, TX 75033-1437

Phone

(828) 506-0718

NPI assigned

Nov 17, 2020

Organization subpart

No

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

Authorized official

Name

Brian Fisher

Title

Owner

Phone

(214) 385-0180

Specialties & licenses 2

Addresses

Practitioners 1

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

• Ayla D Whitmire, M.S.

  • Addiction (Substance Use Disorder) Counselor
  • Brevard, NC
  • NPI 1023590734
  NPD (past)

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

{
    "created_epoch": "1605571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609977600000",
    "number": "1689277352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1288 BLUE LAKE DR",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750331437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1288 BLUE LAKE DR",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750331437",
            "telephone_number": "828-506-0718"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "171 Leopard Ln",
            "address_purpose": "LOCATION",
            "city": "Brevard",
            "state": "NC",
            "postal_code": "287128609",
            "country_code": "US",
            "telephone_number": "214-838-1728",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WILLOW LANE HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-17",
        "last_updated": "2021-01-07",
        "certification_date": "2021-01-07",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-385-0180"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tadacia Williams
• Venus Williams, MS, CCC-SLP
• Daniel James Williamson, M.A.
• Hope Kathryn Williamson
• Eema Willis
• Willowwood Holdings LLC
• Angela M Wilson
• Bailey Meredith Wilson
• Brandon B Wilson, D.C.
• Edward D Wilson, DC

• Addiction (Substance Use Disorder) Counselor in Frisco, TX
• Providers in Frisco, TX by specialty
• Addiction (Substance Use Disorder) Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2021; 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.