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BREONNA SHANICE WILLIS
NPI 1871198994
Counselor in Orlando, FL

Active since December 04, 2020
482 S KELLER RD, ORLANDO, FL 32810(689) 204-3341 Get Directions Write a Review

NPPES record last updated: December 4, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Breonna Shanice Willis NPPES

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

BREONNA SHANICE WILLIS (NPI 1871198994) is an individual counselor in Orlando, Florida and active in the NPI registry since December 2020.

NPPES Registry Identity

NPI1871198994
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameBREONNA SHANICE WILLIS
Location Address482 S KELLER RDOrlando, FL 32810-6130
Mailing Address482 S Keller RdOrlando, FL 32810-6130 · (689) 204-3341
Phone(689) 204-3341
Sole ProprietorYes
Enumeration DateDecember 4, 2020
NPPES CertifiedDecember 4, 2020
✔ NPI 1871198994 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
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.
482 S KELLER RD, Orlando, FL 32810
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Other Identifiers 1

Other62395FL · Children's Home Society

Other Providers at the Same Location NPPES 12

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

DR. MONICA L STARKE ED.D
Counselor (Mental Health)
482 S KELLER RD
ORLANDO, FL 32810
Orange County (321) 397-3000
EMILY ROBERTS MSW
Social Worker
482 S KELLER RD
ORLANDO, FL 32810
Orange County (937) 581-8164
SAMANTHA DECAPRIO
Counselor
482 S KELLER RD
ORLANDO, FL 32810
Orange County (469) 236-0144
MASLIN CORNEIRO MA
Counselor (Mental Health)
482 S KELLER RD
ORLANDO, FL 32810
Orange County (321) 397-3000
SAUNDRA LEWIS BRADSHAW ED.S
Counselor (Mental Health)
482 S KELLER RD
ORLANDO, FL 32810
Orange County (352) 361-7917
TIRZAH NEVES
Counselor (Mental Health)
482 S KELLER RD
ORLANDO, FL 32810
Orange County (305) 922-3446
DANIELLE SERVEDIO
Counselor
482 S KELLER RD
ORLANDO, FL 32810
Orange County (321) 397-3000
TAMMY SUZANNE LIDDELL
Case Manager/Care Coordinator
482 S KELLER RD
ORLANDO, FL 32810
Orange County (321) 397-3000

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 Breonna Willis's NPI number?

The NPI number for Breonna Willis is 1871198994. It was assigned to this individual provider in the NPPES registry on December 4, 2020.

Where is Breonna Willis located?

Breonna Willis practices at 482 S Keller Rd, Orlando, FL 32810. The listed phone number is (689) 204-3341.

What is Breonna Willis's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Breonna Willis was last updated on December 4, 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.