WILL'S WAY, LLC (NPI# 1063795870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063795870 |
| Entity Type | Organization |
| Organization Name | WILL'S WAY, LLC |
| Practice Address |
604 Adeline St Suite B Hattiesburg MS 39401-3842 |
| Mailing Address |
Po Box 15955 Hattiesburg MS 39404-5955 |
| Practice Telephone | 6014669190 |
| Practice Fax Number | 1866625055 |
| Mailing Telephone | 6014669190 |
| Mailing Fax Number | 1866625055 |
| Enumeration Date | 2011-09-28 |
| Last Update Date | 2011-09-28 |
| Authorized Official Name | DR. DANNELL SPEIGHTS ROBERTS (CO-OWNER PROGRAM DIRECTOR) |
| Authorized Official Telephone | 6014669190 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TS0200X |
Psychologist Specialization: School |
204130 | MS | Behavioral Health & Social Service Providers |
| Y | 103TS0200X |
Psychologist Specialization: School |
47821 | MS | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952673915 | Will's Way, LLC | Behavioral Analyst | 22 Millbranch Rd Ste 1200, Hattiesburg, MS 39402 | 2012-02-06 |
| Street Address |
604 ADELINE ST SUITE B |
| City | HATTIESBURG |
| State | MS |
| Zip Code | 39401-3842 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285996231 | Sarah Elise Case-price | Speech-Language Pathologist | 604 Adeline St, Suite B, Hattiesburg, MS 39401-3842 | 2012-06-14 |
| 1942571864 | Neelima Gutti Duncan | Behavioral Analyst | 604 Adeline St, Suite B, Hattiesburg, MS 39401-3842 | 2012-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598315863 | Lisa Thornton | Technician | 18 Timberline Dr., Hattiesburg, MS 39401 | 2019-09-18 |
| 1548813637 | Caroline Estes Barnes | Counselor | Barnes, 8 App Slade Road, Hattiesburg, MS 39401 | 2019-07-18 |
| 1396252441 | Selection Healthcare Services, LLC | In Home Supportive Care | 606 Adeline St Ste 1c, Hattiesburg, MS 39401 | 2018-01-10 |
| 1225545585 | Whitney Wilkinson | Nurse Practitioner | 301 South 28th Avenue, Hattiesburg, MS 39401 | 2018-01-08 |
| 1740795806 | Forrest General Hospital | Pharmacy | 1414 South 28th Avenue, Hattiesburg, MS 39401 | 2017-12-11 |
| 1275058455 | Casey Payne | Pharmacist | 6130 Us 49, Hattiesburg, MS 39401 | 2017-08-08 |
| 1225562705 | Sarah Marie Hudson | Family Medicine | 6051 Us Highway 49 S, Hattiesburg, MS 39401 | 2017-04-12 |
| 1043671704 | The Covington's Cove Assisted Living Center LLC | Assisted Living Facility | 192 Mary Magdalene Church Rd, Hattiesburg, MS 39401 | 2016-03-09 |
| 1780083626 | Dominique Reed Watson | Pharmacist | 602 Adeline St, Hattiesburg, MS 39401 | 2014-08-15 |
| 1558778936 | Willie Davis Jr. | Day Training, Developmentally Disabled Services | 701 Duke Ave., Hattiesbiurg, MS 39401 | 2014-07-17 |
| Find all providers in zip 39401 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053921098 | Betty Swain Weiss | Psychologist | 1220 Speaks Rd, Terry, MS 39170-7116 | 2020-08-04 |
| 1467948091 | L & A Services | Psychologist | 1300 S Davis Ave, Cleveland, MS 38732-4312 | 2018-07-06 |
| 1669655163 | Aimee M Wilson | Psychologist | 4061 Suzanne Dr, Suite C & C, Diberville, MS 39540-3735 | 2007-12-07 |
| 1932470515 | Heidi L Vine | Psychologist | 1701 White St, Mccomb, MS 39648-2711 | 2012-01-13 |
| 1730478306 | Deborah Fetter Nastasi | Psychologist | 4061 Suzanne Dr, Diberville, MS 39540-3735 | 2011-04-04 |
| 1518297191 | Jan Ganann | Psychologist | 100 Old Sturgis Rd, Ackerman, MS 39735-6600 | 2010-01-05 |
| City | HATTIESBURG |
| Zip Code | 39401 |
Please comment or provide details below to improve the information on WILL'S WAY, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.