MEDICARE: WILLA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	174H00000X	Health Educator
2	101Y00000X	Counselor
3	133V00000X	Registered Dietitian
4	174N00000X	Lactation Consultant (Non-RN)
5	222Q00000X	Developmental Therapist
6	235Z00000X	Speech-Language Pathologist
7	374J00000X	Doula
8	174400000X	Specialist

General Provider Information

NPI Number	:	1609454222
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WILLA

Provider Business Mailing Address
First Line	:	120 E REYNOLDS RD STE 3
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40517-1251
Country	:	US
Telephone Number	:	859-582-6441
Fax Number	:

Provider Business Practice Location Address
First Line	:	120 E REYNOLDS RD STE 3
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40517-1251
Country	:	US
Telephone Number	:	859-287-2996
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ERICA RHORER
Credential	:	RDN, LD, IBCLC
Telephone Number	:	859-287-2996

Provider Enumeration Date	:	04/02/2021
Last Update Date	:	01/07/2024

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Directions to “WILLA ” Practice Location

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