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CHARNELLE WILLIS
NPI 1104300623
Counselor - Mental Health in Port St Lucie, FL

Active since September 20, 2018
525 NW LAKE WHITNEY PL, PORT ST LUCIE, FL 34986(772) 337-8164 Get Directions Write a Review

NPPES record last updated: September 20, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Charnelle Willis NPPES

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

CHARNELLE WILLIS (NPI 1104300623) is an individual mental health provider in Port St Lucie, Florida and active in the NPI registry since September 2018.

NPPES Registry Identity

NPI1104300623
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameCHARNELLE WILLIS
Location Address525 NW LAKE WHITNEY PLPort St Lucie, FL 34986-1605
Mailing Address4977 Nw Foxworth AvePort St Lucie, FL 34983-2302 · (954) 815-6241
Phone(772) 337-8164
Sole ProprietorNo
Enumeration DateSeptember 20, 2018
✔ NPI 1104300623 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
525 NW LAKE WHITNEY PL, Port St Lucie, FL 34986
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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.

SPENCER DARRELL LEE M.D.
Specialist
525 NW LAKE WHITNEY PL, SUITE 206
PORT ST LUCIE, FL 34986
St. Lucie County (772) 878-8885
REMWAY PORT ST LUCIE, LLC
Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)
525 NW LAKE WHITNEY PL, SUITE 102 BLDG P
PORT ST LUCIE, FL 34986
St. Lucie County (772) 323-2661
STACEY HOWE M.S.W
Social Worker
525 NW LAKE WHITNEY PL
PORT ST LUCIE, FL 34986
St. Lucie County (772) 337-8164
PEDRO LUNA JR.
Case Manager/Care Coordinator
525 NW LAKE WHITNEY PL
PORT ST LUCIE, FL 34986
St. Lucie County (772) 337-8164
MS. STEPHANIE MICHELLE REYNOLDS M.S.
Counselor (Mental Health)
525 NW LAKE WHITNEY PL
PORT SAINT LUCIE, FL 34986
St. Lucie County (772) 492-9841
KATHERINE AMIT M.ED., LMHC
Counselor (Mental Health)
525 NW LAKE WHITNEY PL
PORT ST LUCIE, FL 34986
St. Lucie County (772) 337-8164
LETTY OWUOR PSY.D.
Counselor (Mental Health)
525 NW LAKE WHITNEY PL, SUITE. 102 &103
PORT SAINT LUCIE, FL 34986
St. Lucie County (772) 337-8164
BSAM HOLDINGS INC
Clinic/Center (Sleep Disorder Diagnostic)
525 NW LAKE WHITNEY PL, BLDG P - STE 103
PORT ST LUCIE, FL 34986
St. Lucie County (772) 323-2660

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 Charnelle Willis's NPI number?

The NPI number for Charnelle Willis is 1104300623. It was assigned to this individual provider in the NPPES registry on September 20, 2018.

Where is Charnelle Willis located?

Charnelle Willis practices at 525 NW Lake Whitney Pl, Port St Lucie, FL 34986. The listed phone number is (772) 337-8164.

What is Charnelle 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 Charnelle Willis was last updated on September 20, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.