WILLOW CREEK ADOLESCENT SUBSTANCE ABUSE PROGRAM
NPI 1114174331
Counselor - Addiction (Substance Use Disorder) in Ellijay, GA

Active since August 19, 2008
10 KIKER ST, ELLIJAY, GA 30540(706) 636-2692(706) 636-2694 Get Directions Write a Review

NPPES record last updated: August 19, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Willow Creek Adolescent Substance Abuse Program NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WILLOW CREEK ADOLESCENT SUBSTANCE ABUSE PROGRAM (NPI 1114174331) is a healthcare organization registered as an addiction (substance use disorder) in Ellijay, Georgia and active in the NPI registry since August 2008. The organization lists Larry W Hooks, Ceo And Director, as its authorized official.

NPPES Registry Identity

NPI1114174331
Entity TypeOrganization
Primary Taxonomy101YA0400X
Legal Business NameWILLOW CREEK ADOLESCENT SUBSTANCE ABUSE PROGRAM
Location Address10 KIKER STEllijay, GA 30540-3700
Mailing Address10 Kiker StEllijay, GA 30540-3700 · (706) 636-2692 · Fax (706) 636-2694
Fax(706) 636-2694
Organization SubpartNo
Authorized OfficialLarry W HooksCeo And Director · (706) 636-2692
Enumeration DateAugust 19, 2008
NPI 1114174331 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in GA · LPC003706
10 KIKER ST, Ellijay, GA 30540

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
10 KIKER ST
ELLIJAY, GA 30540
Clinic/Center (Rehabilitation, Substance Use Disorder)
10 KIKER ST
ELLIJAY, GA 30540

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Willow Creek Adolescent Substance Abuse Program's NPI number?

The NPI number for Willow Creek Adolescent Substance Abuse Program is 1114174331. It was assigned to this organization in the NPPES registry on August 19, 2008.

Where is Willow Creek Adolescent Substance Abuse Program located?

Willow Creek Adolescent Substance Abuse Program is located at 10 Kiker St, Ellijay, GA 30540. The listed phone number is (706) 636-2692.

What is Willow Creek Adolescent Substance Abuse Program's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Willow Creek Adolescent Substance Abuse Program was last updated on August 19, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.