DR. AMANDA L WILLIS (NPI# 1750906467) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750906467 |
| Entity Type | Individual |
| Full Name | DR. AMANDA L WILLIS |
| Credential | PSY.D |
| Practice Address |
6439 Garners Ferry Rd Bldg 106 Columbia SC 29209-1638 |
| Practice Telephone | 8037764000 |
| Mailing Telephone | 8037764000 |
| Enumeration Date | 2020-06-09 |
| Last Update Date | 2020-06-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
20043362B | IN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427428192 | Amanda Willis | Physical Therapy Assistant | 3014 W William Cannon Dr Apt 1134, Austin, TX 78745-5025 | 2015-10-06 |
| 1407466923 | Amanda Marie Willis | Counselor | 700 S Main St, Mountain Home, AR 72653-4445 | 2020-08-10 |
| 1114586617 | Amanda Kathryn Willis | Social Worker | 15 N 3rd St Ste 300, Newark, OH 43055-5550 | 2019-06-07 |
| 1013429240 | Amanda Warnecke Willis | Social Worker | 199 S Central Ave, Columbus, OH 43223-1301 | 2017-10-27 |
| 1174948780 | Amanda Willis | Occupational Therapist | 1108 Airport Blvd, Suite A, Pensacola, FL 32504-8628 | 2014-02-19 |
| 1952651275 | Amanda Willis | Physical Therapist | 7 Carnegie Plz, Cherry Hill, NJ 08003-1000 | 2012-09-13 |
| 1710106059 | Amanda Lea Willis | Pediatrics | 1122 N Topeka St, Wichita, KS 67214-2810 | 2007-04-25 |
| Street Address |
6439 GARNERS FERRY RD BLDG 106 |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29209-1638 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942767538 | Jennifer Nicole Merrifield | Psychologist | 6439 Garners Ferry Rd Bldg 106, Columbia, SC 29209-1638 | 2019-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992293013 | Pertile Group LLC | Family Medicine | 26 Foot Point Rd, Columbia, SC 29209 | 2018-04-24 |
| 1083156061 | Derek Clark | Physical Therapist | 6349 Garners Ferry Rd, Columbia, SC 29209 | 2016-11-08 |
| 1922450345 | Heather Alexander | Social Worker | 6439 Garners-ferry Road, Suite 122, Wjb Dorn Va, Columbia, SC 29209 | 2016-07-09 |
| 1265888325 | Daphne Elaine Allen | Counselor | 1850 Pinview Dr, Columbia, SC 29209 | 2016-05-09 |
| 1659757649 | Marc Edmundson | Pharmacist | 500 Gills Creek Pkwy #810, Columbia, SC 29209 | 2015-08-03 |
| 1477949113 | Winter Years Home Health Care Agency, LLC | Home Health | 1101 1st Street, P, Columbia, SC 29209 | 2015-04-09 |
| 1285045773 | Alireza Adhami | Pharmacist | 7235 Garners Ferry Rd, Columbia, SC 29209 | 2014-05-19 |
| 1790039212 | Immediate Dental Group Columbia | Dentist | 1118 Greenlawn Drive, Columbia, SC 29209 | 2012-11-06 |
| 1275896284 | Tariq Horani | Internal Medicine | 6349 Garners Ferry Road, Int Med -, Columbia, SC 29209 | 2012-06-25 |
| 1902165467 | Medcare Urgent Care Center Garners Ferry, LLC | Clinic/Center | 7418 Garners Ferry Road, Columbia, SC 29209 | 2012-05-03 |
| Find all providers in zip 29209 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215541040 | Charles A Burgess | Psychologist | 119 Parker Hall, Columbia, MO 65211-2340 | 2020-08-31 |
| 1851910335 | Columbia Psychology Healing Center LLC | Psychologist | 1900 N Providence Rd Ste 327, Columbia, MO 65202-3710 | 2020-04-14 |
| 1518515097 | Warrenetta Crawford Mann | Psychologist | 1409 Devine Street Thomson Building, Columbia, SC 29208-0001 | 2019-08-28 |
| 1528523420 | Daniel Franco | Psychologist | 4501 Kentsfield Ln, Columbia, MO 65201-3587 | 2019-02-05 |
| 1861964207 | Erin Joy Schuyler | Psychologist | 26 Barn Owl Ct, Columbia, SC 29209-4488 | 2018-12-26 |
| 1467944439 | Zixuan Wang | Psychologist | 10000 Town Center Ave Apt 434, Columbia, MD 21044-5447 | 2018-06-05 |
| 1366990384 | Amanda Marie Jones | Psychologist | 6851 Oak Hall Ln Ste 118, Columbia, MD 21045-5815 | 2016-09-19 |
| 1124574850 | Patrick Steele | Psychologist | 1531 Laurel St, Columbia, SC 29201 | 2016-09-01 |
| 1073968061 | Tara Acevedo, Psy.d., PC | Psychologist | 6213 Deep Earth Ln, Columbia, MD 21045-2565 | 2016-04-27 |
| 1467833798 | Matthew Edmond Fitzgerald | Psychologist | 6801 Oak Hall Ln # 2254, Columbia, MD 21045-9998 | 2015-06-11 |
| Find all providers in COLUMBIA | ||||
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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.