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QUEEN WILLARD
NPI 1801496138
Counselor - Addiction (Substance Use Disorder) in Charlotte, NC

Active since October 27, 2020
521 CLANTON RD, CHARLOTTE, NC 28217(704) 755-0150 Get Directions Write a Review

NPPES record last updated: October 27, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Queen Willard NPPES

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

QUEEN WILLARD (NPI 1801496138) is an individual addiction (substance use disorder) provider in Charlotte, North Carolina, licensed in North Carolina (LCAS-26319) and active in the NPI registry since October 2020.

NPPES Registry Identity

NPI1801496138
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameQUEEN WILLARD
Location Address521 CLANTON RDCharlotte, NC 28217-1369
Mailing Address521 Clanton RdCharlotte, NC 28217-1369
Phone(704) 755-0150
Sole ProprietorYes
Enumeration DateOctober 27, 2020
NPPES CertifiedOctober 27, 2020
✔ NPI 1801496138 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 NC · LCAS-26319
521 CLANTON RD, Charlotte, NC 28217
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Other Providers at the Same Location NPPES 7

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

JESSICA EASLEY
Social Worker (Clinical)
521 CLANTON RD
CHARLOTTE, NC 28217
Mecklenburg County (704) 332-9001
CHELSEY MANN LCSWA
Social Worker (Clinical)
521 CLANTON RD
CHARLOTTE, NC 28217
Mecklenburg County (704) 332-9001
MICHELLE WIGLEY LCAS
Counselor (Addiction (Substance Use Disorder))
521 CLANTON RD
CHARLOTTE, NC 28217
Mecklenburg County (704) 332-9001
AMIT RAMESHBHAI PATEL
Social Worker (Clinical)
521 CLANTON RD
CHARLOTTE, NC 28217
Mecklenburg County (704) 755-0150
BRITTANY TILLMAN
Counselor (Professional)
521 CLANTON RD
CHARLOTTE, NC 28217
Mecklenburg County (704) 332-9001
SHANISE GOODWIN LMFTA
Marriage & Family Therapist
521 CLANTON RD
CHARLOTTE, NC 28217
Mecklenburg County (704) 755-0150
MRS. MYLYIA BOWERS NEWTON LMFT
Marriage & Family Therapist
521 CLANTON RD
CHARLOTTE, NC 28217
Mecklenburg County (704) 332-9001

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 Queen Willard's NPI number?

The NPI number for Queen Willard is 1801496138. It was assigned to this individual provider in the NPPES registry on October 27, 2020.

Where is Queen Willard located?

Queen Willard practices at 521 Clanton Rd, Charlotte, NC 28217. The listed phone number is (704) 755-0150.

What is Queen Willard'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 Queen Willard was last updated on October 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.