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General NPI Number Information
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NPI Number | 1841396900
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Entity Type | Organization
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Legal Business Name | R & S WILLIS, INC
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Dates
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Enumeration Date | 09/16/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 438 E LONG AVE
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City | GASTONIA
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State | NC
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Zip | 28054-3501
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Country | US
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Telephone | 704-868-9117
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Fax | 704-868-9159
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Provider Business Mailing Address
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Address Line | 438 E LONG AVE
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City | GASTONIA
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State | NC
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Zip | 28054-3501
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Country | US
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Telephone | 704-868-9117
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Fax | 704-868-9159
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. ROBERT WILLIS
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Credential |
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Telephone | 704-868-9117
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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