MARY ELIZABETH BETTY MCWILLIE LPC NPI 1104415041

NPI Information

NPI: 1104415041
Provider Name: MARY ELIZABETH BETTY MCWILLIE, LPC
Classification: Counselor - 101Y00000X
Entity Type: Individual
Address:
3661 CHARLESWOOD AVE
MEMPHIS, TN
ZIP 38122
Phone: (901) 324-2705
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Mary Elizabeth Betty Mcwillie, LPC is a counselor in Memphis, TN. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. Mary Elizabeth Betty Mcwillie, LPC NPI is 1104415041. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3661 CHARLESWOOD AVE
MEMPHIS, TN
ZIP 38122-602
Phone: (901) 324-2705

The enumeration date for this NPI number is 1/14/2021 and was last updated on 1/14/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101Y00000X	Counselor		527	TENNESSEE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	527	OTHER	TENNESSEE	COUNSELING PERSONAL AND CAREER
2	527	OTHER	TENNESSEE	COUNSELING

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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