Steven Jerrold Willis in Key West - Marriage & Family Therapist
Steven Jerrold Willis - NPI 1629185327
Steven Jerrold Willis is a Marriage & Family Therapist in Key West, Florida. Steven Jerrold Willis practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Steven Jerrold Willis is 1629185327. The last update date is 2015-07-16.
Steven Jerrold Willis's current location address is 1111 12th Street, Key West, Florida. You can contact this provider via phone number 3057472124 and fax number 3052934339. The mailing address for Steven Jerrold Willis is 1111 12th Street, Key West, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Steven Jerrold Willis |
|---|---|
| Address | 1111 12th Street, Key West, Florida |
| Phone Number | 3057472124 |
| Fax Number | 3052934339 |
| Sole Proprietor | Y |
| Credentials | MED |
NPI Number Detail
| NPI Number | 1629185327 |
|---|---|
| Provider Enumeration Date | 2006-08-25 |
| Last Updated Date | 2015-07-16 |
Provider Mailing Address Detail
| Address | 1111 12th Street |
|---|---|
| City | Key West |
| State | Florida (FL) |
| Post Code | 330403011 |
| Phone Number | 3057472124 |
| Fax Number | 3052934339 |
Provider's Primary Taxonomy Detail
| Speciality | Marriage & Family Therapist |
|---|---|
| Taxonomy | 106H00000X |
| Licence No | MFT 2056 |
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Definition: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives |
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What is the unique 10-digit identification code assigned to Steven Jerrold Willis by the Centers for Medicare & Medicaid Services?
The Steven Jerrold Willis has been issued the NPI (National Provider Identifier) 1629185327, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Steven Jerrold Willis's facilities are geographically located?
The facilities of Steven Jerrold Willis are physically situated at the following location: 1111 12Th Street, Key West, FL, 330403011.
What is Steven Jerrold Willis's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Steven Jerrold Willis is Marriage & Family Therapist, and the taxonomy code that classifies this field of practice is 106H00000X.
On what date did the Steven Jerrold Willis receive its 1629185327 assignment from the Centers for Medicare & Medicaid Services?
The Steven Jerrold Willis was assigned its 1629185327 by the Centers for Medicare & Medicaid Services on 2006-08-25.
When was the information related to Steven Jerrold Willis most recently updated or refreshed?
The details pertaining to the Steven Jerrold Willis, including its address, specialty, and other relevant information, were last updated or refreshed on 2015-07-16.
NPI Number: 1144219742
Address: 3870 Leeds Ave, North Charleston, SC