P Praxis·MD
● Active Type 2 · Organization

Wyllowsway, Llc

Community/Behavioral Health·MacOn, GA· NPI 1619326584 · Enumerated 2016 · 9 years on NPI
Wyllowsway, Llc is 1 of 2449 community/behavioral health organizations in Georgia.
NPI age
9 years
Enumerated 2016-06-10
Primary specialty
Community/Behavioral Health
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Irvine
Therapist
Last NPPES update
2016-06-20
Source: monthly bulk 2026-05

How this organization compares

Across 2449 active community/behavioral health providers in Georgia.

NPI age
9 years
↓ 4 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2016 → 2026

2016-06Enumerated in NPPES
2016 2026

Where they practice

Primary practice location
105 William Way
MacOn, GA 312166160
📞 4783277683fax 4787811395
Mailing address
105 William Way
MacOn, GA 312166160
📞 4783277683fax 4787811395

Authorized official

Gera Lynn Irvine, LPC,CEAP,
Therapist
📞 4783612875

Specialties

  • Community/Behavioral Health Primary
    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...
    GA license #LPC3186 taxonomy 251S00000X

Practice context

Single-site organization. Only one practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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