Provider Demographics
NPI:1407659923
Name:WILLOW & MOSS COUNSELING LLC
Entity type:Organization
Organization Name:WILLOW & MOSS COUNSELING LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:HANNAH
Authorized Official - Middle Name:
Authorized Official - Last Name:REED
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LPC, RPT
Authorized Official - Phone:404-585-0051
Mailing Address - Street 1:113 MOUNTAIN BROOK DR STE 200
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:GA
Mailing Address - Zip Code:30115-9057
Mailing Address - Country:US
Mailing Address - Phone:404-585-0051
Mailing Address - Fax:
Practice Address - Street 1:113 MOUNTAIN BROOK DR STE 200
Practice Address - Street 2:
Practice Address - City:HOLLY SPRINGS
Practice Address - State:GA
Practice Address - Zip Code:30115-9057
Practice Address - Country:US
Practice Address - Phone:404-585-0051
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-31
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty