WYLLOWSWAY, LLC (NPI# 1619326584) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619326584 |
| Entity Type | Organization |
| Organization Name | WYLLOWSWAY, LLC |
| Practice Address |
105 William Way Macon GA 31216-6160 |
| Practice Telephone | 4783277683 |
| Practice Fax Number | 4787811395 |
| Mailing Telephone | 4783277683 |
| Mailing Fax Number | 4787811395 |
| Enumeration Date | 2016-06-10 |
| Last Update Date | 2016-06-20 |
| Authorized Official Name | GERA LYNN IRVINE (THERAPIST) |
| Authorized Official Telephone | 4783612875 |
| Authorized Official Credential | LPC,CEAP, |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | LPC3186 | GA | Agencies |
| Street Address |
105 WILLIAM WAY |
| City | MACON |
| State | GA |
| Zip Code | 31216-6160 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174971055 | Willowsway, LLC | Case Management | 105 William Way, Macon, GA 31216-6160 | 2016-06-01 |
| 1346691540 | Gera Irvine | Counselor | 105 William Way, Macon, GA 31216-6160 | 2016-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578125282 | Georgia Treatment Services | Clinic/Center | 6132 Hawkinsvill Road, Macon, GA 31216 | 2019-07-02 |
| 1720495898 | Erma Wells Heard | Nurse Practitioner | 217 Pendleton Ct., Macon, GA 31216 | 2014-07-21 |
| 1881959518 | Leigh Underwood Bennett | Dentist | 4226 Hartley Bridge Rd Ste 102, Macon, GA 31216 | 2012-07-09 |
| 1295980456 | Georgia Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 4585 Hartley Bridge Rd., Macon, GA 31216 | 2008-12-01 |
| 1013083336 | Rutland Medical Supply | Durable Medical Equipment & Medical Supplies | 3035 Hartley Bridge Road, Suite 2, Macon, GA 31216 | 2006-11-28 |
| 1477074318 | Hollie K Bradley | Nurse Practitioner | 4310 Hartley Bridge Rd, Macon, GA 31216 | 2017-06-30 |
| 1104206713 | Hartley Bridge Family Dentistry | Dentist | 4226 Hartley Bridge Rd Ste 102, Macon, GA 31216 | 2015-06-09 |
| 1144432048 | Family Specialty Care LLC | Family Medicine | 4310 Hartley Bridge Rd, Macon, GA 31216 | 2007-05-04 |
| 1164598710 | Kirsten J Hampton | Family Medicine | 4310 Hartley Bridge Rd, Macon, GA 31216 | 2006-11-27 |
| 1063588614 | Cameka N Scarborough | Family Medicine | 4310 Hartley Bridge Rd, Macon, GA 31216 | 2006-11-27 |
| Find all providers in zip 31216 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699314807 | Seeds of Life Counseling Agency, LLC | Community/Behavioral Health | 3070 Clairmont Ave, Macon, GA 31204-1049 | 2020-01-06 |
| 1033664222 | Moore Resolutions Group, LLC | Community/Behavioral Health | 4100 Riverside Dr Ste 97, Macon, GA 31210-1848 | 2016-08-17 |
| 1164874509 | Chandra Albritton Counseling Services | Community/Behavioral Health | 152 New St, Suite 109b, Macon, GA 31201-7304 | 2016-07-11 |
| 1073914115 | Monique Rechelle Delay Moore | Community/Behavioral Health | 646 Millrun Court, Macon, GA 31210 | 2014-09-09 |
| 1902220536 | Jode Counseling Training and Treatment Services Inc | Community/Behavioral Health | 3555 Mercer University Dr, Suite 1016, Macon, GA 31204-4940 | 2014-02-18 |
| 1730483306 | River Edge Behavioral Health Center | Community/Behavioral Health | 1881 Twin Pines Dr, Macon, GA 31211-1237 | 2010-12-22 |
| 1972819753 | Resourceful Solutions II | Community/Behavioral Health | 405 Cherry St, Suite 345, Macon, GA 31201-3320 | 2010-08-31 |
| 1437270352 | Community Development System, Inc. | Community/Behavioral Health | 401 Cherry St, Suite 505, Macon, GA 31201-3384 | 2007-04-02 |
| 1295899466 | River Edge Behavioral Health Center | Community/Behavioral Health | 750 Baconsfield Dr, Macon, GA 31211-1491 | 2006-12-21 |
| 1962564963 | River Edge Behavioral Health Center | Community/Behavioral Health | 4164 Riggins Mill Rd, Macon, GA 31217-5440 | 2006-12-15 |
| Find all providers in MACON | ||||
Please comment or provide details below to improve the information on WYLLOWSWAY, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.