WILLOW OAK COUNSELING AND BEHAVIORAL SERVICES, LLC. (NPI# 1235614751) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235614751 |
| Entity Type | Organization |
| Organization Name | WILLOW OAK COUNSELING AND BEHAVIORAL SERVICES, LLC. |
| Practice Address |
14323 Ocean Hwy Unit 4103 Pawleys Island SC 29585-4817 |
| Practice Telephone | 8437792264 |
| Practice Fax Number | 8665804842 |
| Mailing Telephone | 8433140416 |
| Mailing Fax Number | 8665804842 |
| Enumeration Date | 2018-10-01 |
| Last Update Date | 2019-08-12 |
| Authorized Official Name | MRS. JESSICA ELIZABETH ROMAN (OWNER/LICENSED PROFESSIONAL COUNSEL) |
| Authorized Official Telephone | 8437792264 |
| Authorized Official Credential | LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | W80629SC1 | 05 |
| Street Address |
14323 OCEAN HWY UNIT 4103 |
| City | PAWLEYS ISLAND |
| State | SC |
| Zip Code | 29585-4817 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598903445 | James Todd Mcgahey | Counselor | 14323 Ocean Hwy Unit 4103, Pawleys Island, SC 29585-4817 | 2009-01-30 |
| 1164963054 | Jessica Elizabeth Roman | Counselor | 14323 Ocean Hwy Unit 4103, Pawleys Island, SC 29585-4817 | 2017-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790303923 | Susan Kraus | Counselor | 1032 Algonquin Dr., 963-h, Pawleys Island, SC 29585 | 2020-07-14 |
| 1831737436 | Mary Ruth Blair | Counselor | 10689 Ocean Highway, Pawleys Island, SC 29585 | 2019-12-13 |
| 1518437110 | David Patrick Hanley | Home Health | 10698 Ocean Highway, Suite 100, Pawleys Island, SC 29585 | 2018-11-27 |
| 1154860369 | Danielle Olivia Woodley | Nurse Practitioner | 201 Business Center Dr., Pawleys Island, SC 29585 | 2017-02-21 |
| 1992241145 | Nichole Marie Evans | Nurse Practitioner | 10317 Ocean Highway 17 South, Pawleys Island, SC 29585 | 2017-01-11 |
| 1922559152 | Camri K Monaghan | Occupational Therapist | 120 Lakes of Litchfield Dr., Pawleys Island, SC 29585 | 2016-10-24 |
| 1245785666 | Hannah Rebecca Willis Rustin | Dentist | 34 Business Center Dr, Pawleys Island, SC 29585 | 2016-08-16 |
| 1750700894 | Veronica Seitzinger | Social Worker | 49 Pond View Dr, Pawleys Island, SC 29585 | 2014-04-15 |
| 1578813341 | Anne Marie Floyd | Physical Therapist | 120 Lakes At Litchfield Drive, Pawley's Island, SC 29585 | 2012-09-19 |
| 1356612170 | Jean C. Cross | Social Worker | Alston Rd, Pawleys Island, SC 29585 | 2012-01-25 |
| Find all providers in zip 29585 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831737436 | Mary Ruth Blair | Counselor | 10689 Ocean Highway, Pawleys Island, SC 29585 | 2019-12-13 |
| 1285289983 | Karen Lee Porterfield | Counselor | 137 Calvert Ct, Pawleys Island, SC 29585-6153 | 2019-08-08 |
| 1861932709 | Sheryn Waterman | Counselor | 153 Beaufain Ct, Pawleys Island, SC 29585-6168 | 2017-02-25 |
| 1326398553 | Candace B Foster | Counselor | 168 Channel Bluff Ave, Pawleys Island, SC 29585-5112 | 2012-09-14 |
| 1598903445 | James Todd Mcgahey | Counselor | 14323 Ocean Hwy Unit 4103, Pawleys Island, SC 29585-4817 | 2009-01-30 |
| 1689870883 | Amy M. Kinard, Lpc, LLC | Counselor | 201a Business Center Dr, Pawleys Island, SC 29585-6522 | 2007-06-25 |
| 1669432878 | Franklin E Clemons, Jr. | Counselor | 12117 Ocean Hwy, Pawleys Island, SC 29585-7941 | 2006-03-23 |
| 1679181150 | Angela K Jones Ma Lpc LLC | Counselor | 10023 Ocean Hwy, Pawleys Island, SC 29585-7806 | 2020-07-21 |
| 1053814871 | Dioselina Ruiz Godbold | Counselor | 12117 Ocean Hwy, Pawleys Island, SC 29585-7941 | 2018-03-18 |
| 1164963054 | Jessica Elizabeth Roman | Counselor | 14323 Ocean Hwy Unit 4103, Pawleys Island, SC 29585-4817 | 2017-03-13 |
| Find all providers in PAWLEYS ISLAND | ||||
| City | PAWLEYS ISLAND |
| Zip Code | 29585 |
Please comment or provide details below to improve the information on WILLOW OAK COUNSELING AND BEHAVIORAL SERVICES, 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.