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MICHAEL DWAYNE WILLIS
NPI 1528540382
Marriage & Family Therapist in Culver City, CA

Active since August 29, 2018
9808 VENICE BLVD STE 700, CULVER CITY, CA 90232(310) 945-3350(310) 945-3356 Get Directions Write a Review

NPPES record last updated: August 23, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 23, 2023, Aug 29, 2018 (2 updates tracked since 2018).

About Michael Dwayne Willis NPPES

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

MICHAEL DWAYNE WILLIS (NPI 1528540382) is an individual marriage & family therapist in Culver City, California, licensed in California (140007) and active in the NPI registry since August 2018.

NPPES Registry Identity

NPI1528540382
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameMICHAEL DWAYNE WILLIS
Location Address9808 VENICE BLVD STE 700Culver City, CA 90232-6824
Mailing Address9808 Venice Blvd Ste 700Culver City, CA 90232-6824 · (310) 945-3350 · Fax (310) 945-3356
Phone(310) 945-3350
Fax(310) 945-3356
Sole ProprietorNo
Enumeration DateAugust 29, 2018
Last NPPES UpdateAugust 23, 20232 updates tracked since enumeration
NPPES CertifiedAugust 23, 2023
✔ NPI 1528540382 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · 140007
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
9808 VENICE BLVD STE 700, Culver City, CA 90232
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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.

KEVIN JACOB WINSTON
Rehabilitation Practitioner
9808 VENICE BLVD STE 700
CULVER CITY, CA 90232
Los Angeles County (310) 945-3350
BRADLEY CHARLES NEIMAN
Peer Specialist
9808 VENICE BLVD STE 700
CULVER CITY, CA 90232
Los Angeles County (310) 945-3350
JULIA MARISA ALAY
Licensed Vocational Nurse
9808 VENICE BLVD STE 700
CULVER CITY, CA 90232
Los Angeles County (310) 945-3350
DESIREA CHANELLE TAYLOR
Licensed Vocational Nurse
9808 VENICE BLVD STE 700
CULVER CITY, CA 90232
Los Angeles County (310) 945-3350
ASHLEY NICOLLE NUNEZ
Rehabilitation Practitioner
9808 VENICE BLVD STE 700
CULVER CITY, CA 90232
Los Angeles County (310) 945-3350
ZYNIA NEREYDA ORTIZ
Rehabilitation Practitioner
9808 VENICE BLVD STE 700
CULVER CITY, CA 90232
Los Angeles County (310) 945-3350
ALVARO MAURICIO LA ROSA
Rehabilitation Practitioner
9808 VENICE BLVD STE 700
CULVER CITY, CA 90232
Los Angeles County (310) 945-3350
JEANETTE MARTINEZ
Rehabilitation Practitioner
9808 VENICE BLVD STE 700
CULVER CITY, CA 90232
Los Angeles County (310) 945-3350

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 Michael Willis's NPI number?

The NPI number for Michael Willis is 1528540382. It was assigned to this individual provider in the NPPES registry on August 29, 2018.

Where is Michael Willis located?

Michael Willis practices at 9808 Venice Blvd Ste 700, Culver City, CA 90232. The listed phone number is (310) 945-3350.

What is Michael Willis's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

When was this NPI record last updated?

The NPPES record for Michael Willis was last updated on August 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.