WILLIS ADVANCED COUNSELING SERVICES; NPI #1225523780

Contact Information

WILLIS ADVANCED COUNSELING SERVICES

805 SUPERIOR ST STE A
PORT HURON, MI 48060

Phone: 810-824-4590
Fax: 810-937-5439
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Professional	101YP2500X

Indicates primary specialty

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NPI Profile & details for WILLIS ADVANCED COUNSELING SERVICES

NPI Number 1225523780

LBN Legal business name WILLIS ADVANCED COUNSELING SERVICES

Authorized official DINA CAMPBELL - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 06/27/2018

Last updated 02/23/2022 - About 4 years ago

Identifiers

License #

6401015730

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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WILLIS ADVANCED COUNSELING SERVICES

Contact Information

Specialty

Professional

NPI Profile & details for WILLIS ADVANCED COUNSELING SERVICES

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