MICHELLE DENISE WILLIS MA MA LGADC CMAC NPI 1548907173

NPI Information

NPI: 1548907173
Provider Name: MICHELLE DENISE WILLIS, MA, MA, LGADC, CMAC
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
2005 TOWNE PARK DR
MCDONOUGH, GA
ZIP 30252
Phone: (443) 851-0179
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Michelle Denise Willis, MA, MA, LGADC, CMAC is an addiction (substance use disorder) counselor in Mcdonough, GA. Michelle Denise Willis, MA, MA, LGADC, CMAC NPI is 1548907173. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2005 TOWNE PARK DR
MCDONOUGH, GA
ZIP 30252-871
Phone: (443) 851-0179

The enumeration date for this NPI number is 5/16/2022 and was last updated on 5/16/2022.

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	101YA0400X	Counselor	Addiction (Substance Use Disorder)	0105	GEORGIA	Yes

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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