Willows Place Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

WILLOWS PLACE SERVICES

Practice address

1910 Willow Rd
Greensboro, NC 27406-3855

Phone

(336) 362-6811

NPI assigned

Nov 10, 2025

Organization subpart

No

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

Authorized official

Name

Mr. Steve Simmons

Title

Manager MGR

Phone

(336) 362-6811

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1762732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762732800000",
    "number": "1699645945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 WILLOW RD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274063855",
            "telephone_number": "336-362-6811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 WILLOW RD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274063855",
            "telephone_number": "336-362-6811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOWS PLACE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-10",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "MANAGER MGR",
        "authorized_official_telephone_number": "336-362-6811",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin T Willis, M.S., ED.S., NCC
• Charles Keith Willis, M.D.
• Katherine Willis
• Shannon Willis
• Andrea E. Willoughby, LCSW, LCAS
• Samantha Marie Wilmoth, LCSWA
• Wilson Counseling and Wellness, PLLC
• Myra Joy Wilson-Southerland, R.PH.
• Alysea Wilson
• Amelia Pugh Wilson, M.D.

• Community/Behavioral Health Agency in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2025; 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.