MISS SARAH WILLIS (NPI# 1982740569) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982740569 |
| Entity Type | Individual |
| Full Name | MISS SARAH WILLIS |
| Credential | CCS |
| Practice Address |
2030 Ashley Rd Charlotte NC 28208-3714 |
| Practice Telephone | 7046140042 |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2010-11-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
2039 | NC | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
351 | NC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 6110559 | 05 | |
| NC | CERTIFIED CLINICAL SUPERV | 351 | 01 |
| NC | CSAC | 1898 | 01 |
| NC | CSAPC | 2039 | 01 |
| NC | ICADC | 23720 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467001966 | Sarah Willis | Counselor | 608 Briar Ct, Virginia Beach, VA 23452-2003 | 2019-09-06 |
| 1184118697 | Sarah Phillips Willis | Registered Nurse | 109 Hickory Trail Dr, Harvest, AL 35749-7908 | 2018-06-18 |
| 1407077605 | Sarah Lyn Willis | Pharmacist | 15446 Manchester Road, Ballwin, MO 63011 | 2007-05-02 |
| 1649882432 | Sarah Margaret Willis | Audiologist | 6550 Fannin St Ste 1723, Houston, TX 77030-2747 | 2020-08-21 |
| 1306492020 | Sarah Willis | Technician, Other | 1001 Laurence Ave, Jackson, MI 49202-2979 | 2019-08-19 |
| 1790184570 | Sarah Willis | Pharmacist | 6010 W Amarillo Blvd, Amarillo, TX 79106-1990 | 2014-08-18 |
| 1194136911 | Sarah Willis | Pharmacist | 50 Holyoke St, Target Pharmacy, Holyoke, MA 01040-2709 | 2014-05-14 |
| 1043642556 | Sarah Willis | Case Manager/Care Coordinator | 3717 Taylorsville Rd, 1st Floor, Louisville, KY 40220-1333 | 2013-08-07 |
| 1134455512 | Sarah J Willis | Counselor | 801 N Holtzclaw Ave, Suite 101, Chattanooga, TN 37404-1236 | 2009-10-20 |
| 1104050715 | Sarah Ann Willis | Physical Therapist | 14450 S Outer 40, Chesterfield, MO 63017-5711 | 2009-05-11 |
| Street Address |
2030 ASHLEY RD |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28208-3714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154448223 | Willis Adolecant & Adult Services | Counselor | 2030 Ashley Rd, Charlotte, NC 28208-3714 | 2007-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124645544 | Charlotte Sp Senior Housing Opco, LLC | Custodial Care Facility | 6041 Piedmont Row Drive, Charlotte, NC 28208 | 2020-07-01 |
| 1750929659 | Tru Pearl Solution Services Pllc | Community/Behavioral Health | 2128 Remount Road Suite B, Charlotte, NC 28208 | 2019-12-11 |
| 1245880699 | Camilla A Raley | Technician | 1539 Walton Rd, Charlotte, NC 28208 | 2019-09-18 |
| 1912567041 | Nolan Scott Blake | In Home Supportive Care | 4926 Ridgeley Dr., Suite B, Charlotte, NC 28208 | 2019-06-20 |
| 1699244145 | Catalyst Chiropractic, Pllc | Chiropractor | 2620 Tuckaseegee Rd., Charlotte, NC 28208 | 2018-11-14 |
| 1255854691 | Jessica Lynne Hunter | Social Worker | 2011 Water Walk Lane Apt 209, Charlotte, NC 28208 | 2017-07-18 |
| 1700311420 | Matthew Christian Mundorf | Chiropractor | 2620 Tuckaseegee Rd, Charlotte, NC 28208 | 2017-05-01 |
| 1700235439 | Erin Merchant | Counselor | 2016 Millerton Avenue, #2213, Charlotte, NC 28208 | 2016-06-03 |
| 1528432564 | Monika Sheree Moore | Counselor | 3205 Freedom Dr, Charlotte, NC 28208 | 2015-11-13 |
| 1205224540 | Phadality Home Care | Home Health | 201 S Hoskins Rd., Suite 119, Charlotte, NC 28208 | 2015-01-08 |
| Find all providers in zip 28208 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619574829 | Steve Hanna Interventions | Counselor | 8101 Providence Court Ln Apt 101, Charlotte, NC 28270-2385 | 2020-10-01 |
| 1164036976 | Diamond Corbin | Counselor | 3553 N Sharon Amity Rd Ste 200, Charlotte, NC 28205-8992 | 2020-08-31 |
| 1366053035 | Triumph Therapeutic Services Pllc | Counselor | 620 Parkaire Ln Apt 1024, Charlotte, NC 28217-2492 | 2020-08-14 |
| 1407472582 | Sarah Ann Grant | Counselor | 1617 Fountain Vw, Charlotte, NC 28203-5829 | 2020-06-24 |
| 1164046728 | Kevin Thomas Egroff | Counselor | 2134 Augusta St, Charlotte, NC 28216-4603 | 2020-05-29 |
| 1861039729 | No Bounds Care Inc of Nc | Counselor | 615 E 6th St Ste 102, Charlotte, NC 28202-2918 | 2019-12-10 |
| 1174168850 | Stress Management, LLC | Counselor | 8915 Legacy Park Dr Apt C, Charlotte, NC 28269-9622 | 2019-11-17 |
| 1154964062 | Setfreesoldiers, Inc | Counselor | 4900 Providence Rd, Charlotte, NC 28226-5848 | 2019-10-23 |
| 1083256762 | Speak Life Counseling Services, Pllc | Counselor | 16147 Lacaster Hwy, Suite 110, Charlotte, NC 28277 | 2019-10-14 |
| 1518508340 | Modern Era Counseling, Pllc | Counselor | 5200 Park Rd Ste 218-d, Charlotte, NC 28209-3650 | 2019-10-02 |
| Find all providers in CHARLOTTE | ||||
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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.