WILLOW OAK COMMUNITY BEHAVIORAL HEALTH CENTER (NPI# 1881131860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881131860 |
| Entity Type | Organization |
| Organization Name | WILLOW OAK COMMUNITY BEHAVIORAL HEALTH CENTER |
| Other Organization Name | WILLOW OAK CENTER |
| Practice Address |
37 Calumet Parkway Building J, Suite 101 & 102 Newnan GA 30263-6734 |
| Practice Telephone | 7706836946 |
| Practice Fax Number | 7706836949 |
| Mailing Telephone | 7706836946 |
| Mailing Fax Number | 7706836949 |
| Enumeration Date | 2017-01-27 |
| Last Update Date | 2020-01-15 |
| Authorized Official Name | MS. DIANE BOULAI (CEO/ OWNER) |
| Authorized Official Telephone | 7706836946 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 003218948A | 05 |
| Other Name | Type Code |
|---|---|
| Willow Oak Center | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | WILLOW OAK COMMUNITY BEHAVIORAL HEALTH CENTER, INC. | 37 Calumet Pkwy Ste J101-102, Newnan, GA 30263-6734 |
| Street Address |
37 CALUMET PARKWAY BUILDING J, SUITE 101 & 102 |
| City | NEWNAN |
| State | GA |
| Zip Code | 30263-6734 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588273528 | Willow Oak Foundation, Inc. | Community/Behavioral Health | 37 Calumet Parkway, Building J, Suite 102, Newnan, GA 30263-7856 | 2020-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750914115 | Tina Harvey | Counselor | 55 A, Suite A, Newnan, GA 30263 | 2020-02-13 |
| 1407492846 | Pathways Center for Behavioral & Developmental Growth | Community/Behavioral Health | 78 Hospital Road, Newnan, GA 30263 | 2019-11-20 |
| 1831672047 | Jp & Jg Enterprises | Hospice Care, Community Based | 22 Madras Parkway, Newnan, GA 30263 | 2018-09-13 |
| 1376052928 | Newnan Endoscopy Center LLC | Clinic/Center | 1200 Lower Fayetteville Rd, Newnan, GA 30263 | 2017-09-27 |
| 1417314899 | Natalie Stephens | Speech-Language Pathologist | 87 Matador Way, Newnan, GA 30263 | 2016-01-15 |
| 1376943423 | Kathryn R Fletcher | Case Manager/Care Coordinator | 30 O'tara Woods Drive, Newnan, GA 30263 | 2014-08-26 |
| 1912260068 | Tamecia Hill | Counselor | 37 2nd Ave., Newnan, GA 30263 | 2012-06-22 |
| 1013289255 | Pathways Center for Behavioral and Developmental Growth | Community/Behavioral Health | 52 Perry St, Newnan, GA 30263 | 2012-02-03 |
| 1245513092 | Rocky Mountain Holdings LLC | Ambulance | 180 W Aviation Way, Newnan, GA 30263 | 2011-09-27 |
| 1316240427 | Georgia Cvs Pharmacy, LLC | Durable Medical Equipment & Medical Supplies | 395 Jackson St, Newnan, GA 30263 | 2010-12-10 |
| Find all providers in zip 30263 | ||||
| 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 |
|---|---|---|---|---|
| 1407492846 | Pathways Center for Behavioral & Developmental Growth | Community/Behavioral Health | 78 Hospital Road, Newnan, GA 30263 | 2019-11-20 |
| 1962952432 | Rbm Inc | Community/Behavioral Health | 51 Perry St Ste A, Newnan, GA 30263-2082 | 2016-10-09 |
| 1215370572 | For Kids Sake of Newnan, LLC | Community/Behavioral Health | 185 Woodstream Dr, Newnan, GA 30265-3309 | 2013-04-16 |
| 1770825176 | Arise Recovery Consultants, LLC | Community/Behavioral Health | 41 Farmer St Ste 101, Newnan, GA 30263-8672 | 2013-03-23 |
| 1013289255 | Pathways Center for Behavioral and Developmental Growth | Community/Behavioral Health | 52 Perry St, Newnan, GA 30263 | 2012-02-03 |
| 1497033583 | John Coleman Wright, Jr. Foundation | Community/Behavioral Health | 165 Southfield Dr, Newnan, GA 30265-1943 | 2011-07-25 |
| 1134436942 | Brittanymanor, Inc | Community/Behavioral Health | 175 J D Walton Rd, 175jdwalton Rd, Newnan, GA 30263-4912 | 2010-09-01 |
| 1912220245 | Grace Harbour, Inc. | Community/Behavioral Health | 2 Lee St, Suite A, Newnan, GA 30263-1915 | 2010-03-01 |
| 1881758662 | Pathways Center for Behavioral and Developmental Growth | Community/Behavioral Health | 74 Hospital Rd, Newnan, GA 30263-1210 | 2006-12-19 |
| 1760551873 | Miracles Behavioral Health Center | Community/Behavioral Health | 66 Briandwood Dr., Suite A, Newnan, GA 30265 | 2006-11-06 |
| Find all providers in NEWNAN | ||||
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| 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.