Doctor Name: | MICHELLE H. WILLIS |
NPI Number: | 1508980210 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | |
Business Practice Address: | 130 Carbonton Rd Sanford, NC - 273304009 |
Business Phone Number: | 9197746521 |
Business Fax Number: | 9197766179 |
Mailing Address: | 1120 7 Lks N, Po Box 9 WEST END |
State: | NC |
Postal Code: | 273769756 |
Phone Number: | 9106739111 |
Fax Number: | 9106736202 |
NPI Enumeration Date: | 03/19/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |