Willow Oak Foundation, Inc.

LBN: Willow Oak Foundation, Inc.
Willow Oak Foundation, Inc. is an health care organization with primary practice located at 55 Jefferson Pkwy # 55B , Newnan GA 30263-5813. The organization recently has 2 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center). Agencies / Community/Behavioral Health is the primary health care specialty. Willow Oak Foundation, Inc. can be contacted via phone (770) 683-6946, or through Boulai, Diane via phone (770) 683-6946.

Contact Information

Primary practice address
55 Jefferson Pkwy # 55B Newnan GA 30263-5813
Phone: (770) 683-6946
Fax: (770) 683-6949
Website:
Map and Directions
Authorized official contact:
Name: Boulai, Diane
Phone: (770) 683-6946

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1588273528
LBN Legal business name Willow Oak Foundation, Inc.
DBA Doing business as
Authorized official Boulai, Diane
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 27th, 2020
Last updated Mar 18th, 2026 - about 7 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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