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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

CHANDRA WILLIS
NPI 1043142490
Counselor - Mental Health in Vicksburg, MS

Active since June 01, 2026
1905 MISSION 66, VICKSBURG, MS 39180(601) 738-5820(601) 738-5820 Get Directions Write a Review

NPPES record added: June 1, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Chandra Willis NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHANDRA WILLIS (NPI 1043142490) is an individual mental health provider in Vicksburg, Mississippi and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1043142490
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameCHANDRA WILLIS
Location Address1905 MISSION 66Vicksburg, MS 39180-3711
Mailing Address1905 Mission 66Vicksburg, MS 39180-3711 · (601) 738-5820 · Fax (601) 738-5820
Phone(601) 738-5820
Fax(601) 738-5820
Sole ProprietorNo
Enumeration DateJune 1, 2026
NPPES CertifiedJune 1, 2026
✔ NPI 1043142490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1905 MISSION 66, Vicksburg, MS 39180
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AERIKA LOTT
Case Manager/Care Coordinator
1905 MISSION 66
VICKSBURG, MS 39180
Warren County (601) 826-1259
DENISE WOOD
Case Manager/Care Coordinator
1905 MISSION 66
VICKSBURG, MS 39180
Warren County (601) 738-5820
ANESHIA STAMPS
Case Manager/Care Coordinator
1905 MISSION 66
VICKSBURG, MS 39180
Warren County (601) 738-5820
GARRETT ROUSE GARRETT ROUSE
Case Manager/Care Coordinator
1905 MISSION 66
VICKSBURG, MS 39180
Warren County (601) 738-5820
BRIANNA MARIE GLENN
Counselor (Mental Health)
1905 MISSION 66
VICKSBURG, MS 39180
Warren County (601) 738-5820
SHANTIKA LYNETTE PAGE CSS
Case Manager/Care Coordinator
1905 MISSION 66
VICKSBURG, MS 39180
Warren County (601) 738-5820
HOLLYE WATKINS
Case Manager/Care Coordinator
1905 MISSION 66
VICKSBURG, MS 39180
Warren County (601) 738-5820
ASIA MARSHALL
Case Manager/Care Coordinator
1905 MISSION 66
VICKSBURG, MS 39180
Warren County (601) 738-5820

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Chandra Willis's NPI number?

The NPI number for Chandra Willis is 1043142490. It was assigned to this individual provider in the NPPES registry on June 1, 2026.

Where is Chandra Willis located?

Chandra Willis practices at 1905 Mission 66, Vicksburg, MS 39180. The listed phone number is (601) 738-5820.

What is Chandra Willis's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Chandra Willis was last updated on June 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.