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KELLY WILLMOTT LADC
NPI 1780929547
Counselor - Addiction (Substance Use Disorder) in Prior Lake, MN

Active since December 05, 2012
16221 MAIN AVE SE, SUITE 102, PRIOR LAKE, MN 55372(952) 440-6038(952) 440-6037 Get Directions Write a Review

NPPES record last updated: December 5, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly Willmott Ladc NPPES

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

KELLY WILLMOTT LADC (NPI 1780929547) is an individual addiction (substance use disorder) provider in Prior Lake, Minnesota, licensed in Minnesota (302238) and active in the NPI registry since December 2012.

NPPES Registry Identity

NPI1780929547
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameKELLY WILLMOTTCredential: LADC
Location Address16221 MAIN AVE SE, SUITE 102Prior Lake, MN 55372-1777
Mailing Address16221 Main Ave Se, Suite 102Prior Lake, MN 55372-1777 · (952) 440-6038 · Fax (952) 440-6037
Phone(952) 440-6038
Fax(952) 440-6037
Sole ProprietorYes
Enumeration DateDecember 5, 2012
✔ NPI 1780929547 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
License✔ Licensed in MN · 302238
16221 MAIN AVE SE, Prior Lake, MN 55372
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Other Names 1

Former Name (1)Kelly Erlandson Ladc

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 Kelly Willmott's NPI number?

The NPI number for Kelly Willmott is 1780929547. It was assigned to this individual provider in the NPPES registry on December 5, 2012. The provider is also known as Kelly Erlandson Ladc.

Where is Kelly Willmott located?

Kelly Willmott practices at 16221 Main Ave SE Suite 102, Prior Lake, MN 55372. The listed phone number is (952) 440-6038.

What is Kelly Willmott'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 Kelly Willmott was last updated on December 5, 2012. 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.