WILLIAM WILLIS (NPI# 1912457060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912457060 |
| Entity Type | Individual |
| Full Name | WILLIAM WILLIS |
| Credential | LCAS-A |
| Practice Address |
111 Lamon St Suite 103 Fayetteville NC 28301-4901 |
| Mailing Address |
722 Sage St Fayetteville NC 28312-6014 |
| Practice Telephone | 9102610941 |
| Mailing Telephone | 9102610941 |
| Enumeration Date | 2016-10-12 |
| Last Update Date | 2016-10-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
LCAS-22813 | NC | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063539351 | William E Willis Jr. | Dentist | 108 Babb Drive, Lebanon, TN 37087 | 2007-03-23 |
| 1528150299 | William Lee Willis | Dentist | 2510 Nw Kline St, Roseburg, OR 97470 | 2006-09-29 |
| 1033179478 | William Allen Willis Jr. | Psychiatry & Neurology | 2850 Village Dr, Suite 103, Fayetteville, NC 28304-3864 | 2006-03-27 |
| 1003415324 | William Philip Willis | Chiropractor | 1413 Kingsley Ave, Orange Park, FL 32073-4527 | 2020-10-19 |
| 1134695588 | William Christopher Willis Jr. | Social Worker | 1419 Madison Park Dr, Glen Burnie, MD 21061-5613 | 2018-10-23 |
| 1073947313 | William Paul Willis | Hearing Instrument Specialist | 11800 Se 82nd Ave, Happy Valley, OR 97086-7711 | 2013-08-22 |
| 1851536692 | William R Willis | Physical Therapist | 20 School St, Bradford, PA 16701-1257 | 2008-12-09 |
| 1972520567 | William Wyatt Willis | Family Medicine | 126 Trivette Dr, Suite 102, Pikeville, KY 41501-1275 | 2006-07-17 |
| 1376572990 | William N Willis | Chiropractor | 2829 Dallas St Nw, Kennesaw, GA 30144-2704 | 2006-07-03 |
| 1205875846 | William A Willis | General Practice | 104 Wall St, Poteau, OK 74953 | 2006-06-06 |
| Street Address |
111 LAMON ST SUITE 103 |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28301-4901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255321592 | Doris Ann Moore-russell | Social Worker | 111 Lamon St, Suite 212, Fayetteville, NC 28301-4957 | 2005-10-27 |
| 1548710023 | Elite Care | Case Management | 111 Lamon St, Fayetteville, NC 28301 | 2016-10-10 |
| 1003223066 | Chapmans Management Company | Psychiatric Residential Treatment Facility | 111 Lamon St, Fayetteville, NC 28301-4901 | 2014-07-22 |
| 1750716445 | Elite Care Service Inc | Community Based Residential Treatment Facility, Mental Illness | 111 Lamon St, 103, Fayetteville, NC 28301-4901 | 2013-09-12 |
| 1932534625 | Elite Care Service Inc. | Counselor | 111 Lamon St, 103, Fayetteville, NC 28301-4901 | 2013-09-12 |
| 1841625530 | Elite Care Service Inc. | Psychologist | 111 Lamon St, 103, Fayetteville, NC 28301-4901 | 2013-09-12 |
| 1508290420 | Elite Adolescent Care, Inc. | Counselor | 111 Lamon St, 103, Fayetteville, NC 28301-4901 | 2013-08-27 |
| 1073853313 | Drako Munn | Technician | 111 Lamon St, Suite 101, Fayetteville, NC 28301-4901 | 2013-02-24 |
| 1497041032 | J J Compassionate Home Care | Preferred Provider Organization | 111 Lamon St, Suite 207, Fayetteville, NC 28301-4901 | 2011-06-22 |
| 1265728869 | Central Carolina Home Healthcare | Home Health | 111 Lamon St, Suite 119, Fayetteville, NC 28301-4901 | 2011-06-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134726219 | Jenna Michelle Odneal | Behavior Technician | 16915 Liverpool Pkwy. Suite B., Cornelius, NC 28301 | 2020-10-02 |
| 1790390094 | Jessica Shellman | Counselor | 408 Person St. Ste 103, Fayetteville, NC 28301 | 2020-09-14 |
| 1487205951 | Martha K Richardson | Technician | 720 Teachers Dr, Fayetteville, NC 28301 | 2019-09-25 |
| 1013568161 | Angela Rena Locklear | Counselor | 211 Lamon St, Fayeteville, NC 28301 | 2019-09-20 |
| 1619535747 | Teresa Wilson | Contractor | 1417 Canyionland Ct, Apt 209, Fayetteville, NC 28301 | 2019-06-04 |
| 1912461815 | Catherine Stevenson Nwogalanya | Community Health Worker | 1103 Hillsboro St., Fayetteville, NC 28301 | 2019-01-24 |
| 1811443187 | Michael Carroll | Counselor | 308 Peterson Place, Fayetteville, NC 28301 | 2016-08-28 |
| 1023499886 | Latifa Fedai | Nurse Practitioner | 380 Person Street, Fayettevill, NC 28301 | 2015-06-17 |
| 1265868939 | Aci Support Specialists | Community/Behavioral Health | 1725 Venna Drive, Fayetteville, NC 28301 | 2013-09-25 |
| 1871929547 | Aci Support Specialists | Day Training, Developmentally Disabled Services | 2820 Copenhagen Drive, Fayetteville, NC 28301 | 2013-09-25 |
| Find all providers in zip 28301 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790390094 | Jessica Shellman | Counselor | 408 Person St. Ste 103, Fayetteville, NC 28301 | 2020-09-14 |
| 1831704691 | Adriana Londono | Counselor | 418 Person St Ste 103, Fayetteville, NC 28301-5886 | 2020-09-09 |
| 1881203487 | Finfa, Inc. | Counselor | 2026 Corrinna St, Fayetteville, NC 28301-3622 | 2020-07-29 |
| 1326657875 | Jeanette Middle Jordan-huffam Office | Counselor | 3911 W Bent Grass Dr, Fayetteville, NC 28312-8791 | 2020-07-29 |
| 1942824354 | Daytoria Marie Rhone | Counselor | 7816 Klondyke Dr, Fayetteville, NC 28311-9249 | 2020-06-01 |
| 1508486853 | Vivian M Davis | Counselor | 1022 Brookhollow Dr Apt 9, Fayetteville, NC 28314-1108 | 2020-04-16 |
| 1982255956 | Courtney Washington | Counselor | 1777 Michelle Ct, Fayetteville, NC 28304-5558 | 2019-09-21 |
| 1982251104 | Inspiring Change | Counselor | 111 Lamon St Ste 113, Fayetteville, NC 28301-4917 | 2019-08-22 |
| 1245887868 | Erica Graham | Counselor | 105 Bradford Sq Ste A, Fayetteville, GA 30215-1974 | 2019-08-19 |
| 1316502040 | Bettina Rochelle Melvin | Counselor | 1425 Avoncroft Dr, Fayetteville, NC 28306-3567 | 2019-05-08 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 28301 |
Please comment or provide details below to improve the information on WILLIAM WILLIS.
| 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.