1. Home
  2. Directory
  3. Georgia
  4. Martinez
  5. Counselor
  6. NPI Profile

CHARLESETTA WILLIS MHA, MS, RN
NPI 1104575646
Counselor - Mental Health in Martinez, GA

Active since March 22, 2022
4145 COLUMBIA RD, MARTINEZ, GA 30907(706) 869-7373 Get Directions Write a Review

NPPES record last updated: October 13, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Charlesetta Willis Mha, Ms, Rn NPPES

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

CHARLESETTA WILLIS MHA, MS, RN (NPI 1104575646) is an individual mental health provider in Martinez, Georgia and active in the NPI registry since March 2022.

NPPES Registry Identity

NPI1104575646
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameCHARLESETTA WILLISCredential: MHA, MS, RN
Location Address4145 COLUMBIA RDMartinez, GA 30907-5400
Mailing Address860 Willow LkEvans, GA 30809-8000 · (706) 524-3690
Phone(706) 869-7373
Sole ProprietorNo
Enumeration DateMarch 22, 2022
Last NPPES UpdateOctober 13, 2022
NPPES CertifiedJune 7, 2022
✔ NPI 1104575646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedRegistered NurseTaxonomy 163W00000X · License RN219487 (GA)
4145 COLUMBIA RD, Martinez, GA 30907
Open in Google Maps ↗

Other Providers at the Same Location NPPES 17

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

MRS. SHAWANDA LENETE GETER
Counselor (Mental Health)
4145 COLUMBIA RD
AUGUSTA, GA 30907
Columbia County (706) 869-7373
REBECCA NALLEY APC
Psychologist (Counseling)
4145 COLUMBIA RD
MARTINEZ, GA 30907
Columbia County (706) 524-3690
GEORGIA FAMILY CRISIS SOLUTIONS
Counselor (Professional)
4145 COLUMBIA RD
MARTINEZ, GA 30907
Columbia County (706) 869-7373
ALISSA DEAN BOTTOMS
Counselor (Mental Health)
4145 COLUMBIA RD
AUGUSTA, GA 30907
Columbia County (706) 869-7373
ANTHONY GATTER
Counselor (Mental Health)
4145 COLUMBIA RD
MARTINEZ, GA 30907
Columbia County (706) 869-7373
MEGAN LAVIN
Counselor (Mental Health)
4145 COLUMBIA RD
MARTINEZ, GA 30907
Columbia County (706) 869-7373
DAWN FRAZER
Counselor (Mental Health)
4145 COLUMBIA RD
MARTINEZ, GA 30907
Columbia County (706) 869-7373
MS. LYNN M FREEMAN
Counselor (Professional)
4145 COLUMBIA RD
MARTINEZ, GA 30907
Columbia County (706) 869-7373

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 Charlesetta Willis's NPI number?

The NPI number for Charlesetta Willis is 1104575646. It was assigned to this individual provider in the NPPES registry on March 22, 2022.

Where is Charlesetta Willis located?

Charlesetta Willis practices at 4145 Columbia Rd, Martinez, GA 30907. The listed phone number is (706) 869-7373.

What is Charlesetta 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 Charlesetta Willis was last updated on October 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.