Healthcare Provider Details

I. General information

NPI: 1598704439
Provider Name (Legal Business Name): DARLYS E WILLER M.S.W.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/06/2006
Last Update Date: 07/29/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

645 E IRON AVE STE D
SALINA KS
67401-2697
US

IV. Provider business mailing address

645 E IRON AVE STE D
SALINA KS
67401-2697
US

V. Phone/Fax

Practice location:
  • Phone: 785-827-2600
  • Fax: 785-309-0184
Mailing address:
  • Phone: 785-827-2600
  • Fax: 785-309-0184

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLSCSW 0664
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: