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: July 19, 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
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

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.

Counselor
482 S KELLER RD
ORLANDO, FL 32810
Counselor (Mental Health)
482 S KELLER RD
ORLANDO, FL 32810
Counselor (Mental Health)
482 S KELLER RD
ORLANDO, FL 32810
Counselor
482 S KELLER RD
ORLANDO, FL 32810
Counselor (Mental Health)
482 S KELLER RD
ORLANDO, FL 32810
Social Worker
482 S KELLER RD
ORLANDO, FL 32810
Case Manager/Care Coordinator
482 S KELLER RD
ORLANDO, FL 32810
Counselor (Mental Health)
482 S KELLER RD
ORLANDO, FL 32810

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1871198994, enumerated as an "individual" on December 04, 2020.

The provider is located at 482 S KELLER RD ORLANDO, FL 32810 and the phone number is (689) 204-3341.

Counselor with taxonomy code 101Y00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.