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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | 6104607 | 05 |
Street Address |
1650 GREENFIELD ST |
City | WILMINGTON |
State | NC |
Zip Code | 28401-6456 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 28401 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
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 |
Find all providers in WILMINGTON |
City | WILMINGTON |
Zip Code | 28401 |
Please comment or provide details below to improve the information on LIONEL ELBERT WILLIS III.
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.