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WILLOW OAK COMMUNITY BEHAVIORAL HEALTH CENTER, INC.
NPI 1740936335
Community/Behavioral Health in Riverdale, GA

Active since February 23, 2022CLIA 11D2128353 · Waiver
6944 HIGHWAY 85 STE F, RIVERDALE, GA 30274(770) 683-6946(779) 683-6949 Get Directions Write a Review

NPPES record last updated: February 12, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 16, 2023, Feb 23, 2022 (2 updates tracked since 2022).

About Willow Oak Community Behavioral Health Center, Inc. NPPES

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

WILLOW OAK COMMUNITY BEHAVIORAL HEALTH CENTER, INC. (NPI 1740936335) is a healthcare organization registered as a community/behavioral health in Riverdale, Georgia and active in the NPI registry since February 2022. The organization holds a CLIA Waiver certificate valid through March 28, 2027 and lists Diane Boulai, Ceo, as its authorized official.

NPPES Registry Identity

NPI1740936335
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameWILLOW OAK COMMUNITY BEHAVIORAL HEALTH CENTER, INC.
Location Address6944 HIGHWAY 85 STE FRiverdale, GA 30274-2960
Mailing Address361 Cliffhaven CirNewnan, GA 30263-6358 · (678) 477-3476 · Fax (770) 683-6949
Phone(770) 683-6946
Fax(779) 683-6949
Organization SubpartNo
Authorized OfficialDiane BoulaiCeo · (678) 477-3476
Enumeration DateFebruary 23, 2022
Last NPPES UpdateFebruary 12, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 12, 2024
✔ NPI 1740936335 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, 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.
Also ListedIntegrative MedicineTaxonomy 202D00000X
Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X
6944 HIGHWAY 85 STE F, Riverdale, GA 30274
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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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2128353

Willow Oak Community Behavioral Health Center, Inc · Newnan, GA
Active · expires Mar 28, 2027
CLIA Number11D2128353
Laboratory TypePhysician Office
Certificate Effective DateMarch 29, 2025
Certificate Expiration DateMarch 28, 2027
Laboratory DirectorDiane Boulai
Laboratory Phone(770) 683-6946
Laboratory LocationWillow Oak Community Behavioral Health Center, Inc55 Jefferson Parkway, Newnan, GA 30263
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

KARMECIA L'AIME DELOACH LPC
Counselor (Mental Health)
6944 HIGHWAY 85 STE F
RIVERDALE, GA 30274
Clayton County (770) 683-6946
MATTHEW TERRANCE WESTBERRY
Case Manager/Care Coordinator
6944 HIGHWAY 85 STE F
RIVERDALE, GA 30274
Clayton County (770) 683-6946
JAMILA EVELYN BSW
Case Manager/Care Coordinator
6944 HIGHWAY 85 STE F
RIVERDALE, GA 30274
Clayton County (770) 683-6946

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 Oak Community Behavioral Health Center, Inc.'s NPI number?

The NPI number for Willow Oak Community Behavioral Health Center, Inc. is 1740936335. It was assigned to this organization in the NPPES registry on February 23, 2022.

Where is Willow Oak Community Behavioral Health Center, Inc. located?

Willow Oak Community Behavioral Health Center, Inc. is located at 6944 Highway 85 Ste F, Riverdale, GA 30274. The listed phone number is (770) 683-6946.

What is Willow Oak Community Behavioral Health Center, Inc.'s specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Does Willow Oak Community Behavioral Health Center, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2128353) is associated with this NPI, valid through March 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Willow Oak Community Behavioral Health Center, Inc. was last updated on February 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.