ROBERT K. WILLIS (NPI# 1750931200) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750931200 |
| Entity Type | Individual |
| Full Name | ROBERT K. WILLIS |
| Credential | M.ED |
| Practice Address |
2818 Appaloosa Run Ellenwood GA 30294-3968 |
| Practice Telephone | 4046305301 |
| Mailing Telephone | 4046305301 |
| Enumeration Date | 2019-09-17 |
| Last Update Date | 2019-09-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YS0200X |
Counselor Specialization: School |
1366328 | GA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1255620746 | Robert A. Willis | Marriage & Family Therapist | 204 Jefferson St, Suite 106, N Wilkesboro, NC 28659-3586 | 2011-04-05 |
| 1689974636 | Robert Willis Jr. | Pharmacist | 6220 E 14th Ave, Denver, CO 80220-2747 | 2010-10-25 |
| Street Address |
2818 APPALOOSA RUN |
| City | ELLENWOOD |
| State | GA |
| Zip Code | 30294-3968 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770124323 | Lula Varist Gholson | Counselor | Christian Counselor Ma Lou Gholson, 549 Lamar Drive, Forest Park, GA 30294 | 2019-10-04 |
| 1609428176 | Tykechia Todd | Ambulance | 3644 Caseys Cove, Ellenwood, GA 30294 | 2019-07-15 |
| 1891285243 | Ayana Aqila Thornton | Nurse Practitioner | 5654 Hosea Court, Ellenwood, GA 30294 | 2018-05-11 |
| 1346748837 | Kakethia S. Mack | Nurse Practitioner | 4124 Bosenberry Way, Ellenwood, GA 30294 | 2018-01-30 |
| 1851819312 | Tatiana Marcus | Prosthetist | 3895 Busby Mill Ct., Ellenwood, GA 30294 | 2017-09-05 |
| 1962944991 | Fairview Urgent Care, LLC | Clinic/Center | 4475 West Village Pkwy, Ellenwood, GA 30294 | 2016-11-08 |
| 1982006169 | Kristal Cure | Licensed Practical Nurse | 4057 Madiosn Court, Ellenwood, GA 30294 | 2014-09-19 |
| 1801233515 | 1st Class Learning and Performing Arts | Local Education Agency (LEA) | 5474 Platte Dr, Ellenwood, GA 30294 | 2013-06-04 |
| 1235480138 | Life Wellness Group of Atlanta | Home Delivered Meals | 145 Wilhemina Drive, Ellenwood, GA 30294 | 2012-10-02 |
| 1346548450 | William K Holley IIi | Counselor | 2732 Holly Berry Dr, Ellenwood, GA 30294 | 2011-03-14 |
| Find all providers in zip 30294 | ||||
| Taxonomy Code | 101YS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851919336 | Ethelyn Denise Lumpkin | Counselor | 3205 Winterwood Ave, Albany, GA 31721-4527 | 2020-07-10 |
| 1669090452 | Kirsten Olson | Counselor | 1005 Saint Andrews Dr, Augusta, GA 30909-7810 | 2020-07-08 |
| 1922589589 | Bria Campbell | Counselor | 1009 Windsor St Sw, Atlanta, GA 30310 | 2018-08-22 |
| 1124541768 | Counseling First, LLC | Counselor | 114 Pleasant Home Rd Ste B, Augusta, GA 30907-3518 | 2017-07-25 |
| 1598286205 | Antionette Stiggers | Counselor | 1565 Ravens Run, Jonesboro, GA 30236-7271 | 2017-07-03 |
| 1235685082 | Eiram Counseling & Consulting, LLC | Counselor | 6605 Abercorn Street, Suite 108, Savannah, GA 31406 | 2016-08-31 |
| 1689041428 | Reaching Above Poverty | Counselor | 5401 Megan Rd, Stone Mountain, GA 30088 | 2015-08-27 |
| 1235474784 | Betty Jean Mckey | Counselor | 1852 Ga Highway 32 E, Wray, GA 31798-3720 | 2012-12-10 |
| 1922343938 | Allaenna Williams | Counselor | 2792 Old South Dr, Jonesboro, GA 30236-2884 | 2012-12-02 |
| 1861769861 | Jerry B. Daniel | Counselor | 1395 David Mullis Rd, Rentz, GA 31075-3219 | 2011-11-19 |
| 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.