ELIZABETH WILLIS
NPI 1104453919
Counselor - Addiction (Substance Use Disorder) in Lemon Grove, CA

Active since March 24, 2020
2049 SKYLINE DRIVE, LEMON GROVE, CA 91945(619) 465-7303 Get Directions Write a Review

NPPES record last updated: March 24, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Elizabeth Willis NPPES

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

ELIZABETH WILLIS (NPI 1104453919) is an individual addiction (substance use disorder) provider in Lemon Grove, California and active in the NPI registry since March 2020.

NPPES Registry Identity

NPI1104453919
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameELIZABETH WILLIS
Location Address2049 SKYLINE DRIVELemon Grove, CA 91945
Mailing Address1400 N Johnson Ave Ste 101El Cajon, CA 92020-1651
Sole ProprietorYes
Enumeration DateMarch 24, 2020
NPPES CertifiedMarch 24, 2020
NPI 1104453919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
2049 SKYLINE DRIVE, Lemon Grove, CA 91945

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

Case Management
2049 SKYLINE DRIVE
LEMON GROVE, CA 91945

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 Elizabeth Willis's NPI number?

The NPI number for Elizabeth Willis is 1104453919. It was assigned to this individual provider in the NPPES registry on March 24, 2020.

Where is Elizabeth Willis located?

Elizabeth Willis practices at 2049 Skyline Drive, Lemon Grove, CA 91945. The listed phone number is (619) 465-7303.

What is Elizabeth Willis's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Elizabeth Willis was last updated on March 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.