LIONEL ELBERT WILLIS III


Address: 1650 Greenfield St, Wilmington, NC 28401-6456
Phone: 9107983500

LIONEL ELBERT WILLIS III (NPI# 1275848723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1275848723
Entity Type Individual
Full Name LIONEL ELBERT WILLIS III
Credential LPC
Practice Address 1650 Greenfield St
Wilmington
NC 28401-6456
Practice Telephone 9107983500
Practice Fax Number 9107987834
Mailing Telephone 9107983500
Mailing Fax Number 9107987834
Enumeration Date 2010-08-09
Last Update Date 2020-07-07
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers
Y 101YP2500X Counselor
Specialization: Professional
Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NC 6104607 05

Office Location

Street Address 1650 GREENFIELD ST
City WILMINGTON
State NC
Zip Code 28401-6456

Providers in the same location

NPI Name Taxonomy Address Enumeration
1588662308 Rufus Henry Temple Jr. Obstetrics & Gynecology 1650 Greenfield St, Wilmington, NC 28401-6456 2005-07-14
1104483999 Ashley Mcphail Barton Dietitian, Registered 1650 Greenfield St, Wilmington, NC 28401-6456 2019-05-28
1194056143 Kristen Joy Goodwin Nurse Practitioner 1650 Greenfield St, Wilmington, NC 28401-6456 2010-01-14
1356500763 Carol Rich Butler Nurse Practitioner 1650 Greenfield St, Wilmington, NC 28401-6456 2008-06-02
1255504239 Eric N. Spencer Counselor 1650 Greenfield St, Wilmington, NC 28401-6456 2008-04-10
1043400021 New Hanover County Department of Social Services Case Management 1650 Greenfield St, Wilmington, NC 28401-6456 2007-07-26
1346369808 Glen Wayne Anderson Jr. Psychologist 1650 Greenfield St, Wilmington, NC 28401-6456 2007-03-28
1508982620 Emily Bryant Corrigan Social Worker 1650 Greenfield St, Wilmington, NC 28401-6456 2007-03-21
1356466130 Melinda Mcenroe Psychologist 1650 Greenfield St, Wilmington, NC 28401-6456 2007-03-20
1194840942 Ronald Keith Montgomery Counselor 1650 Greenfield St, Wilmington, NC 28401-6456 2007-03-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1275002461 Thrivetothrive, LLC Physical Therapist 1606 Physicians Drive, Inside Promina Health, Wilmington, NC 28401 2018-11-16
1841787454 Kevin Christopher Panebianco Family Medicine 1911 S 17th St Ste 130a, Wilmington, NC 28401 2018-04-18
1518472588 Michelle Bruin Family Medicine 415 S. 2nd Street, Wilmington, NC 28401 2017-12-12
1639617343 Anna Farwell Behavior Technician 3904 Oleander Dr. Suite 102, Wilmington, NC 28401 2017-02-02
1588034144 Dimitri Zivko Pitovski Allergy & Immunology 1099 Medical Center Dr Unit 100b, Wilmington, NC 28401 2015-09-25
1629457007 Megan Havel Counselor 1512 E Lakeshore Drive, Wilmington, NC 28401 2015-05-19
1154709251 Lance Hutchens Dentist 1611 Doctors Cir, Wilmington, NC 28401 2015-05-11
1609281161 Diane Pittman Whitford Counselor 313 Walnut St., Wilmington, NC 28401 2014-06-24
1942550728 Bryan Cole Chalk Nurse Anesthetist, Certified Registered 2131 S 17th Street, Wilmington, NC 28401 2012-09-19
1740566546 Valerie Baars Pharmacist 2302 S 17th Street, Wilmington, NC 28401 2011-10-25
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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1255931051 Mind Body & Sol Counseling and Consultation Counselor 831 N Tatnall St Ste M, Wilmington, DE 19801-1717 2020-10-30
1770190324 Brittany B Greer Counselor 2002 Eastwood Rd Ste 305, Wilmington, NC 28403-7202 2020-09-28
1518578798 Joseph Anthony Cincotta Counselor 3411 Silverside Rd Ste 206, Wilmington, DE 19810-4806 2020-08-12
1336765791 Synchronicity Counseling, LLC Counselor 506 Tyrone Ave, Wilmington, DE 19804-1939 2020-06-22
1871117911 Marcia R. Winter Counselor 402 Foulk Rd Apt 2c8, Wilmington, DE 19803-5805 2020-06-04
1649804634 Jacqueline R Kairis Counseling Counselor 3411 Silverside Rd Bldg Ste 109, Wilmington, DE 19810-4812 2020-02-27
1043856461 Janice L Ward Counselor 2357 Patwynn Rd, Wilmington, DE 19810-2752 2019-11-20
1679045462 Darlene Watkins Counselor 106 W 35th St Bldg 2, Wilmington, DE 19802-2707 2018-12-18
1447729876 Charles Barden Counselor 7004 Hallstead Ct, Wilmington, NC 28411-1067 2018-11-14
1548746860 Amber Potts Counselor 1608 Queen St Ste 1, Wilmington, NC 28401-5527 2018-07-19
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Competitor

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City WILMINGTON
Zip Code 28401

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Dataset Information

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.

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