ROBERT A. WILLIS (NPI# 1255620746) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255620746 |
| Entity Type | Individual |
| Full Name | ROBERT A. WILLIS |
| Credential | MA |
| Practice Address |
204 Jefferson St Suite 106 N Wilkesboro NC 28659-3586 |
| Mailing Address |
Po Box 1656 N Wilkesboro NC 28659-1656 |
| Practice Telephone | 3368381644 |
| Practice Fax Number | 3366677720 |
| Mailing Telephone | 3368381644 |
| Mailing Fax Number | 3366677720 |
| Enumeration Date | 2011-04-05 |
| Last Update Date | 2012-11-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750931200 | Robert K. Willis | Counselor | 2818 Appaloosa Run, Ellenwood, GA 30294-3968 | 2019-09-17 |
| 1629445259 | Robert Willis | Behavioral Analyst | 6311 N 15th St, Lincoln, NE 68521-8976 | 2015-08-31 |
| 1730525874 | Robert Scott Willis | Hearing Instrument Specialist | 104 E Moore St, Valdosta, GA 31602-2911 | 2013-05-16 |
| 1710967443 | Robert Addison Willis | Dentist | 204 E Lincoln Ave, Wellington, KS 67152-3061 | 2006-01-19 |
| 1073507182 | Robert L Willis | Neuromusculoskeletal Medicine & OMM | 201 S Carter St, Carterville, MO 64835-1451 | 2005-09-02 |
| 1093218349 | Robert Lawrence Willis | Counselor | 111 N Patterson St, Valdosta, GA 31601-5515 | 2018-03-13 |
| 1295268829 | Robert Grant Willis | Surgery | 1000 Blythe Blvd, Charlotte, NC 28203-5812 | 2017-04-11 |
| 1407250665 | Robert Willis | Social Worker | 4510 Frankford Ave, Philadelphia, PA 19124-3602 | 2014-10-17 |
| 1023399516 | Robert William Willis | Physical Therapy Assistant | 14502 Greenview Dr, Suite 408, Laurel, MD 20708-3287 | 2011-08-29 |
| 1689974636 | Robert Willis Jr. | Pharmacist | 6220 E 14th Ave, Denver, CO 80220-2747 | 2010-10-25 |
| Street Address |
204 JEFFERSON ST SUITE 106 |
| City | N WILKESBORO |
| State | NC |
| Zip Code | 28659-3586 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013579689 | Lisa C Carr | Social Worker | 1400 Willow Ln # C61-2, North Wilkesboro, NC 28659 | 2019-07-03 |
| 1780141507 | Brenda Barber | Counselor | 200 Northview Plaza, North Wilkesboro, NC 28659 | 2019-02-28 |
| 1639696941 | Lifespan Incorporated | Community/Behavioral Health | 2070 River Road, North Wilkesboro, NC 28659 | 2017-08-28 |
| 1184146011 | Daymark Recovery Services Inc | Community/Behavioral Health | 200 C.c. Wright School Road, Classrooms 126, 127, North Wilkesboro, NC 28659 | 2017-07-12 |
| 1033568258 | Rgm Al Holdings, LLC | Assisted Living Facility | 240 Independence Ave, North Wilkesboro, NC 28659 | 2016-06-08 |
| 1376997999 | Hayden Church | Driver | 29 Boone Trail, North Wilkesboro, NC 28659 | 2016-04-20 |
| 1033563192 | Nathan Grant Davis | Emergency Medicine | Wake Forest Baptist Health- Wilkes Medical Center, 1370 W D St, North Wilkesboro, NC 28659 | 2016-04-14 |
| 1720425408 | Lindsay Brooke Spears | Dentist | 1915 West Park Drive Ste 104, Wilkes Public Health Dental West, North Wilkesboro, NC 28659 | 2013-06-04 |
| 1881983419 | Pruitthealth Hospice, Inc. | Hospice Care, Community Based | 902 West D St, Ste B, North Wilkesboro, NC 28659 | 2011-04-05 |
| 1275838096 | Barium Springs Home for Children | Community Based Residential Treatment Facility, Mental Illness | 517 Boston Ave, North Wilkesboro, NC 28659 | 2011-01-26 |
| Find all providers in zip 28659 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417231804 | Nancy Dodds | Marriage & Family Therapist | 1400 Willow Ln, N Wilkesboro, NC 28659-3551 | 2011-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346841491 | Emily Brokaw | Marriage & Family Therapist | 10420 Park Rd # 100-b, Charlotte, NC 28210-8501 | 2020-11-05 |
| 1942809926 | Anna K Wallace | Marriage & Family Therapist | 2235 Locksley Woods Dr Apt E, Greenville, NC 27858-5461 | 2020-10-21 |
| 1053918961 | Tiana C Lanier-cherry | Marriage & Family Therapist | 628 Preston Grove Ave, Cary, NC 27513-8464 | 2020-10-04 |
| 1043826589 | Lauren Stiegler | Marriage & Family Therapist | 931 Haybeck Ln, Apex, NC 27523-6192 | 2020-09-21 |
| 1588279889 | Deborah Bell | Marriage & Family Therapist | 119 Sw Maynard Rd, Cary, NC 27511-4472 | 2020-09-14 |
| 1447865217 | Rebecca Levy | Marriage & Family Therapist | Cone Health Family Medicine 1125 N Church Street, Greensboro, NC 27401 | 2020-09-09 |
| 1467066753 | Geo'quana W Mcdougal | Marriage & Family Therapist | 1140 Kildaire Farm Rd Ste 304, Cary, NC 27511-7600 | 2020-09-03 |
| 1689286338 | Dina Rose Velazquez | Marriage & Family Therapist | 500 Lemon Pepper Pl, Wendell, NC 27591-8948 | 2020-08-23 |
| 1023631959 | Carolyn Neese | Marriage & Family Therapist | 4102 N Main St, High Point, NC 27265-1132 | 2020-05-27 |
| 1215550074 | Tiffany Guy | Marriage & Family Therapist | 4219 Springhaven Dr, Charlotte, NC 28269-1629 | 2020-05-27 |
| Find all providers with the same taxonomy | ||||
| City | N WILKESBORO |
| Zip Code | 28659 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.