Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Willow Creek Adolescent Substance Abuse Program

Organization Addiction (Substance Use Disorder) Counselor · NPI 1114174331

Willow Creek Adolescent Substance Abuse Program is an Addiction (Substance Use Disorder) Counselor in Ellijay, Georgia. Licensed in Georgia. Registered with an NPI since 2008.

Licensed in
GA
In the registry since
2008

Practice location Address checks out

10 Kiker St
Ellijay, GA 30540-3700
Phone: (706) 636-2692
Fax: (706) 636-2694
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence LPC003706 (GA)

Record details

NPI number1114174331
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Larry Hooks — Ceo And Director · (706) 636-2692
NPI enumeratedAugust 19, 2008
Last updated in NPPESAugust 19, 2008
Mailing address10 Kiker St, Ellijay, GA 30540-3700

Other providers in Ellijay