What is Melissa Willis's NPI number?

The NPI number assigned to this healthcare provider is 1093965162, enumerated as a individual on September 25, 2008.

Where is the provider located?

The provider is located at 2400 S 48TH ST SPRINGDALE, AR 72762 and the phone number is (479) 750-2020.

What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101Y00000X.

MELISSA ANN WILLIS MHPP - NPI 1093965162 - Counselor in Springdale, AR

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About Melissa Ann Willis Mhpp NPPES

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

MELISSA ANN WILLIS MHPP (NPI 1093965162) is an individual counselor in Springdale, Arkansas and active in the NPI registry since September 2008.

NPPES Registry Identity

NPI1093965162

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameMELISSA ANN WILLISCredential: MHPP

Location Address2400 S 48TH STSpringdale, AR 72762-6683

Mailing AddressPo Box 6430Springdale, AR 72766-6430 · (479) 750-2020 · Fax (479) 750-8967

Phone(479) 750-2020

Fax(479) 750-8967

Sole ProprietorNo

Enumeration DateSeptember 25, 2008

✔ NPI 1093965162 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.

2400 S 48TH ST, Springdale, AR 72762

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