KELLEY WILLIS MSW
NPI 1790135549
Counselor in Chantilly, VA
- Individual
- Female
- Counselor
About KELLEY WILLIS
This page provides the complete NPI Profile along with additional information for Kelley Willis, a provider established in Chantilly, Virginia with a medical specialization in Counselor. The healthcare provider is registered in the NPI registry with number 1790135549 assigned on June 2016. The practitioner's primary taxonomy code is 101Y00000X. The provider is registered as an individual and her NPI record was last updated 4 years ago.
- NPI
- 1790135549 Verify this NPI
- Provider Name
- KELLEY WILLIS MSW
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 14900 BOGLE DR SUITE 200 CHANTILLY, VA 20151
- Location Phone
- (703) 817-9890
- Location Fax
- (703) 817-9860
- Mailing Address
- 14900 BOGLE DR SUITE 200 CHANTILLY, VA 20151
- Mailing Phone
- (703) 817-9890
- Mailing Fax
- (703) 817-9860
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-13-2016
- Last Update Date
- 11-15-2022
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor
- Taxonomy Code
- 101Y00000X
- Type
- Behavioral Health & Social Service Providers
- Taxonomy Description
- A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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Other Providers at the Same Location
The following 6 providers are registered at the same or a nearby location.
CHANTILLY, VA 20151
CHANTILLY, VA 20151
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1790135549, enumerated as an "individual" on June 13, 2016.
The provider is located at 14900 BOGLE DR SUITE 200 CHANTILLY, VA 20151 and the phone number is (703) 817-9890.
Counselor with taxonomy code 101Y00000X.
