Healthcare Provider Details

I. General information

NPI: 1851541080
Provider Name (Legal Business Name): STEVEN S WILLE LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/24/2008
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4321 W COLLEGE AVE STE 200
APPLETON WI
54914-3968
US

IV. Provider business mailing address

4321 W COLLEGE AVE STE 200
APPLETON WI
54914-3968
US

V. Phone/Fax

Practice location:
  • Phone: 920-610-3473
  • Fax:
Mailing address:
  • Phone: 920-610-3473
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number4181-125
License Number StateWI
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number4181-125
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: