Provider Demographics
NPI:1639621360
Name:WHISPERING WILLOWS COUNSELING SERVICES, PLLC
Entity Type:Organization
Organization Name:WHISPERING WILLOWS COUNSELING SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:NIKKI
Authorized Official - Middle Name:
Authorized Official - Last Name:CALDWELL
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:336-327-6118
Mailing Address - Street 1:403 PARKWAY
Mailing Address - Street 2:SUITE G
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27401-1652
Mailing Address - Country:US
Mailing Address - Phone:336-265-8420
Mailing Address - Fax:844-273-3668
Practice Address - Street 1:403 PARKWAY
Practice Address - Street 2:SUITE G
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27401-1652
Practice Address - Country:US
Practice Address - Phone:336-265-8420
Practice Address - Fax:844-273-3668
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-28
Last Update Date:2016-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X, 101YA0400X, 101YM0800X, 1041C0700X
NC7694101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty