SHAWNDREA NICOLE WILLIS BS IN MATH
NPI 1063702652
Counselor in Oklahoma City, OK

Active since April 15, 2011
4828 SE 88TH TER, OKLAHOMA CITY, OK 73135(580) 235-2938 Get Directions Write a Review

NPPES record last updated: April 15, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shawndrea Nicole Willis Bs In Math NPPES

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

SHAWNDREA NICOLE WILLIS BS IN MATH (NPI 1063702652) is an individual counselor in Oklahoma City, Oklahoma and active in the NPI registry since April 2011.

NPPES Registry Identity

NPI1063702652
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameSHAWNDREA NICOLE WILLISCredential: BS IN MATH
Location Address4828 SE 88TH TEROklahoma City, OK 73135-6306
Mailing Address4828 Se 88th TerOklahoma City, OK 73135-6306 · (580) 235-2938
Sole ProprietorYes
Enumeration DateApril 15, 2011
NPI 1063702652 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
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's degree and clinical experience and supervision for licensure or certification.
4828 SE 88TH TER, Oklahoma City, OK 73135

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 Shawndrea Willis's NPI number?

The NPI number for Shawndrea Willis is 1063702652. It was assigned to this individual provider in the NPPES registry on April 15, 2011.

Where is Shawndrea Willis located?

Shawndrea Willis practices at 4828 SE 88th Ter, Oklahoma City, OK 73135. The listed phone number is (580) 235-2938.

What is Shawndrea Willis's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Shawndrea Willis was last updated on April 15, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years 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.