Darrelle Willis is a Counselor in Jackson, Tennessee. Darrelle Willis practices all healthcare services and medical treatments related to Counselor. The NPI Number for Darrelle Willis is 1073706941. The last update date is 2021-03-15.
Darrelle Willis's current location address is 45 Executive Dr, Jackson, Tennessee. You can contact this provider via phone number 7316642083 and fax number 7316641988. The mailing address for Darrelle Willis is 45 Executive Dr, Jackson, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Darrelle Willis |
|---|---|
| Address | 45 Executive Dr, Jackson, Tennessee |
| Phone Number | 7316642083 |
| Fax Number | 7316641988 |
| Sole Proprietor | N |
| Credentials | M.S. |
NPI Number Detail
| NPI Number | 1073706941 |
|---|---|
| Provider Enumeration Date | 2007-08-23 |
| Last Updated Date | 2021-03-15 |
Provider Mailing Address Detail
| Address | 45 Executive Dr |
|---|---|
| City | Jackson |
| State | Tennessee (TN) |
| Post Code | 383052337 |
| Phone Number | 7316642083 |
| Fax Number | 7316641988 |
Provider's Primary Taxonomy Detail
| Speciality | Counselor |
|---|---|
| Taxonomy | 101Y00000X |
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Definition: 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 supe |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Darrelle Willis by the Centers for Medicare & Medicaid Services?
The Darrelle Willis has been issued the NPI (National Provider Identifier) 1073706941 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Darrelle Willis's facilities are situated?
The facilities of Darrelle Willis are physically located at the following address: 45 Executive Dr, Jackson, TN, 383052337.
What is Darrelle Willis's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Darrelle Willis is Counselor, and the taxonomy code that classifies this field of practice is 101Y00000X.
When did the Darrelle Willis receive its 1073706941?
The Darrelle Willis was issued its 1073706941 on 2007-08-23, which is the date when the organization was assigned this unique identifier.
As of what date was the information pertaining to Darrelle Willis, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Darrelle Willis, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2021-03-15.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC