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DARRELLE WILLIS M.S.
NPI 1073706941
Counselor in Jackson, TN

Active since August 23, 2007
45 EXECUTIVE DR, JACKSON, TN 38305(731) 664-2083(731) 664-1988 Get Directions Write a Review

NPPES record last updated: March 15, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Darrelle Willis M.s. NPPES

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

DARRELLE WILLIS M.S. (NPI 1073706941) is an individual counselor in Jackson, Tennessee and active in the NPI registry since August 2007.

NPPES Registry Identity

NPI1073706941
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameDARRELLE WILLISCredential: M.S.
Location Address45 EXECUTIVE DRJackson, TN 38305-2337
Mailing Address103 Southlake CirCanton, MS 39046-5369 · (601) 859-8371 · Fax (601) 859-5433
Phone(731) 664-2083
Fax(731) 664-1988
Sole ProprietorNo
Enumeration DateAugust 23, 2007
Last NPPES UpdateMarch 15, 2021
NPPES CertifiedMarch 15, 2021
✔ NPI 1073706941 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.
45 EXECUTIVE DR, Jackson, TN 38305
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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.

KIMBA J KEEL RN
Nurse Practitioner
45 EXECUTIVE DR
JACKSON, TN 38305
Madison County (731) 664-2082
FELICIA RICHARD BS
Counselor
45 EXECUTIVE DR
JACKSON, TN 38305
Madison County (731) 664-2083
BETTY A BARNETTE LPC
Social Worker
45 EXECUTIVE DR
JACKSON, TN 38305
Madison County (731) 664-2083
GLORIA JONES MA
Counselor
45 EXECUTIVE DR
JACKSON, TN 38305
Madison County (731) 664-2083
MARY ELIZABETH THOMPSON BSW
Counselor
45 EXECUTIVE DR
JACKSON, TN 38305
Madison County (731) 664-2083
DERRICK ROBINSON B.S.
Counselor
45 EXECUTIVE DR
JACKSON, TN 38305
Madison County (731) 664-2083
SONYA ACUFF
Counselor
45 EXECUTIVE DR
JACKSON, TN 38305
Madison County (731) 664-2083
KENYATA LATASHA JONES
Counselor
45 EXECUTIVE DR
JACKSON, TN 38305
Madison County (731) 664-2083

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 Darrelle Willis's NPI number?

The NPI number for Darrelle Willis is 1073706941. It was assigned to this individual provider in the NPPES registry on August 23, 2007.

Where is Darrelle Willis located?

Darrelle Willis practices at 45 Executive Dr, Jackson, TN 38305. The listed phone number is (731) 664-2083.

What is Darrelle 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 Darrelle Willis was last updated on March 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.