MRS. BEVERLY WILLIS (NPI# 1740603570) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740603570 |
| Entity Type | Individual |
| Full Name | MRS. BEVERLY WILLIS |
| Practice Address |
9367 Two Notch Rd Suite C2 Columbia SC 29223-6442 |
| Practice Telephone | 4049562691 |
| Practice Fax Number | 8036611093 |
| Mailing Telephone | 4049562691 |
| Mailing Fax Number | 8036611093 |
| Enumeration Date | 2014-01-30 |
| Last Update Date | 2014-01-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| Y | 101YP1600X |
Counselor Specialization: Pastoral |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023345410 | Beverly Ann Willis | Nurse Practitioner | 2000 Palmyra Rd, Albany, GA 31701-1528 | 2009-11-06 |
| Street Address |
9367 TWO NOTCH RD SUITE C2 |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29223-6442 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255645966 | Rmk Ventures Inc | In Home Supportive Care | 9367 Two Notch Rd, Columbia, SC 29223-6442 | 2010-08-05 |
| 1427668573 | Medical Directions, Inc | Nursing Care | 9367 Two Notch Rd, Columbia, SC 29223-6442 | 2020-08-04 |
| 1245898733 | Jennifer Kuhns | Massage Therapist | 9367 Two Notch Rd, Columbia, SC 29223-6442 | 2019-05-30 |
| 1174921878 | Jewel K,m Rembert | Counselor | 9367 Two Notch Rd, Columbia, SC 29223-6442 | 2014-12-11 |
| 1972941003 | Vision Counseling & Vocational Consulting | Social Worker | 9367 Two Notch Rd, Suite F-1, Columbia, SC 29223-6442 | 2013-06-11 |
| 1609114826 | Chaddrick L Middleton | Counselor | 9367 Two Notch Rd, Suite F-1, Columbia, SC 29223-6442 | 2013-01-23 |
| 1326394578 | Mark Coward & Associates, LLC | Durable Medical Equipment & Medical Supplies | 9367 Two Notch Rd, Suite F2-b, Columbia, SC 29223-6442 | 2012-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619522794 | Timothy Drew Edwards | Dentist | 122 N. Brickyard Rd, Columbia, SC 29223 | 2019-08-06 |
| 1861983249 | Southern Pain Specialists | Physical Medicine & Rehabilitation | 115 Blarney Dr Ste 111, Columbia, SC 29223 | 2018-05-22 |
| 1710481452 | Evans Counseling and Consulting, LLC | Social Worker | 120 Wildewood Park Dr Ste A, Columbia, SC 29223 | 2018-03-19 |
| 1750824819 | Marquita Heyward | Counselor | 1 Winsor Cove Suite 303, Columbia, SC 29223 | 2016-11-22 |
| 1578015509 | Carolina Family Pharmacy, LLC | Pharmacy | 9153 Two Notch Road, Columbia, SC 29223 | 2016-10-25 |
| 1225485170 | Lisa Diaz | Occupational Therapy Assistant | 7601 Parlane Rd, Columbia, SC 29223 | 2016-05-20 |
| 1295199859 | Sarah Ann Riley | Nurse Practitioner | Cvs Pharmacy 121 Clemson Rd., Columbia, SC 29223 | 2016-04-11 |
| 1134583214 | Sara Alisha Pound | Behavioral Analyst | 97b Winterberry Ln, Columbia, SC 29223 | 2016-04-05 |
| 1508227653 | Lucy Elvira Vicioso-harris | Counselor | 1310 Oakcrest Dr Apt 318, Columbia, SC 29223 | 2016-03-17 |
| 1134585243 | Robin Heaton | Occupational Therapy Assistant | 7601 Parklane Road, Columbia, SC 29223 | 2016-01-05 |
| Find all providers in zip 29223 | ||||
| Taxonomy Code | 101YP1600X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Pastoral |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578944898 | Centrepointe Counseling, Inc. | Counselor | 10255 Old Columbia Rd, Columbia, MD 21046-2540 | 2015-06-11 |
| 1306129879 | Rickey Gene Ayers | Counselor | 1800 Forest Drive, C, Columbia, SC 29206 | 2011-09-21 |
| 1700939154 | Jacqueline Marie Segue-wilkins | Counselor | 5401 Twin Knolls Rd, Suite 9, Columbia, MD 21045-3257 | 2007-01-19 |
| 1790875045 | Mahlon B. Gilbert | Counselor | 264 Route 87, Columbia, CT 06237-1127 | 2006-10-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992319040 | Hope Is Love Counseling Services, LLC | Counselor | 218 Goshen Rd, Moncks Corner, SC 29461-6498 | 2020-09-05 |
| 1932769833 | Laura Rogers | Counselor | 107 Dupree Farm Rd, Buffalo, SC 29321-2712 | 2019-06-13 |
| 1275006041 | Devron Dennis Sr. | Counselor | 75 Innovation Dr Apt 4303, Greenville, SC 29607-7702 | 2019-01-04 |
| 1396230728 | Gerald Darnell Woods | Counselor | 10825 Dorchester Rd. #3077, Summerville, SC 29485 | 2018-06-27 |
| 1447755954 | William Mccall | Counselor | 1957 Lide Springs Rd, Darlington, SC 29540-8534 | 2018-03-27 |
| 1700324399 | Daniel Grayson | Counselor | 3410 Church St, Loris, SC 29569-2126 | 2017-02-03 |
| 1801255971 | Hope Champaigne-rivers | Counselor | 900 Johnnie Dodds Blvd Ste 104, Mt Pleasant, SC 29464-6125 | 2016-02-18 |
| 1174902332 | Nefateri Smalls | Counselor | 118 Bobby Drive, Ridgeville, SC 29472-0231 | 2015-05-21 |
| 1164813267 | Stephens Active Adult Day Care | Counselor | 3501 Highway 917, Loris, SC 29569-9041 | 2015-02-10 |
| 1447658505 | James Knotts | Counselor | 2576 Hunters Trl, Myrtle Beach, SC 29588-8404 | 2014-12-05 |
| Find all providers with the same taxonomy | ||||
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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.