Willow Oak Therapy, PLLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

C006702 Issued in NC

Legal business name

WILLOW OAK THERAPY, PLLC

Practice address

3622 Lyckan Pkwy Ste 6006
Durham, NC 27707-2539

Phone

(919) 619-5019

NPI assigned

Aug 31, 2018

Organization subpart

No

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

Authorized official

Name

Ms. Robin Coull, LCSW, RPT-SNPI 1326365792

Title

Owner

Phone

(919) 619-5019

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.

• Robin L Coull, MSW, LCSW

  • Clinical Social Worker
  • Raleigh, NC
  • NPI 1326365792
  NPD Authorized official

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

{
    "created_epoch": "1535673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535673600000",
    "number": "1952883431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 IREDELL ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277054124",
            "telephone_number": "919-619-5019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3622 LYCKAN PKWY STE 6006",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277072539",
            "telephone_number": "919-619-5019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOW OAK THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-31",
        "last_updated": "2018-08-31",
        "status": "A",
        "authorized_official_last_name": "COULL",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-619-5019",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW, RPT-S"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "C006702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Gregory Willis, PHARM.D.
• Rheaya Willis, MD
• Lesharo Lashea Willoughby Haywood, CPNP-PC
• Ann S Willoughby
• Willow Bloom Counseling PLLC
• Erin Wills, NP
• Jennifer Kellner Wills, MD
• Wilmarie Rios Jaime Therapy, PLLC
• Dennis Alan Wilpan
• Wilson Orthodontics

• Community/Behavioral Health Agency in Durham, NC
• Providers in Durham, 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 Aug 31, 2018; 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.