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CARLY AMBER WILLIS
NPI 1396180543
Counselor - School in Pontiac, MI

Active since May 01, 2013
114 ORCHARD LAKE RD, PONTIAC, MI 48341(248) 624-3812(248) 624-0368 Get Directions Write a Review

NPPES record last updated: May 1, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Carly Amber Willis NPPES

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

CARLY AMBER WILLIS (NPI 1396180543) is an individual school provider in Pontiac, Michigan and active in the NPI registry since May 2013.

NPPES Registry Identity

NPI1396180543
Entity TypeIndividualFemale
Primary Taxonomy101YS0200X
Provider Legal NameCARLY AMBER WILLIS
Location Address114 ORCHARD LAKE RDPontiac, MI 48341-2244
Mailing Address114 Orchard Lake RdPontiac, MI 48341-2244 · (248) 624-3812 · Fax (248) 624-0368
Phone(248) 624-3812
Fax(248) 624-0368
Sole ProprietorNo
Enumeration DateMay 1, 2013
✔ NPI 1396180543 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · SchoolBehavioral Health & Social Service Providers
Taxonomy Code101YS0200X
114 ORCHARD LAKE RD, Pontiac, MI 48341
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Other Identifiers 1

Medicaid1883825MI

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.

MR. PHILLIP JAY ROSENBAUM
Counselor (School)
114 ORCHARD LAKE RD
PONTIAC, MI 48341
Oakland County (248) 624-3812
NINA SQUILLACE
Social Worker
114 ORCHARD LAKE RD
PONTIAC, MI 48341
Oakland County (248) 858-7766
ALISSA DRISCOLL JACOBS
Social Worker (School)
114 ORCHARD LAKE RD
PONTIAC, MI 48341
Oakland County (248) 858-7766
MICHELLE BOWDEN LMSW
Counselor
114 ORCHARD LAKE RD
PONTIAC, MI 48341
Oakland County (248) 858-7766
CYNTHIA LOUISE FARLIN MA, LPC, NCC
Counselor (Professional)
114 ORCHARD LAKE RD
PONTIAC, MI 48341
Oakland County (248) 858-7766
TARYN REEVE KOURY LLMSW
Social Worker (Clinical)
114 ORCHARD LAKE RD
PONTIAC, MI 48341
Oakland County (248) 858-7766
MS. ELLEN MAUREEN CUSHING BA
Social Worker (School)
114 ORCHARD LAKE RD
PONTIAC, MI 48341
Oakland County (248) 858-7766
OAKLAND FAMILY SERVICES
Community/Behavioral Health
114 ORCHARD LAKE RD
PONTIAC, MI 48341
Oakland County (248) 858-7766

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 Carly Willis's NPI number?

The NPI number for Carly Willis is 1396180543. It was assigned to this individual provider in the NPPES registry on May 1, 2013.

Where is Carly Willis located?

Carly Willis practices at 114 Orchard Lake Rd, Pontiac, MI 48341. The listed phone number is (248) 624-3812.

What is Carly Willis's specialty?

The primary specialty registered for this NPI is Counselor, specializing in School, with taxonomy code 101YS0200X.

When was this NPI record last updated?

The NPPES record for Carly Willis was last updated on May 1, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.