| R & S Willis, Inc | |
|
438 E Long Ave Gastonia NC 28054-3501 | |
| (704) 868-9117 | |
| (704) 868-9159 |
| Full Name | R & S Willis, Inc |
|---|---|
| Speciality | Case Management |
| Location | 438 E Long Ave, Gastonia, North Carolina |
| Authorized Official Name and Position | Robert Willis (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7048689117 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| R & S Willis, Inc 438 E Long Ave Gastonia NC 28054-3501 Ph: (704) 868-9117 | R & S Willis, Inc 438 E Long Ave Gastonia NC 28054-3501 Ph: (704) 868-9117 |
| NPI Number | 1841396900 |
|---|---|
| Provider Enumeration Date | 09/16/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841396900 | NPI | - | NPPES |
| 8300313H | Medicaid | NC | |
| 8700462 | Medicaid | NC | |
| 5900984 | Medicaid | NC | |
| 8300313B | Medicaid | NC | |
| 8300313G | Medicaid | NC | |
| 6102732 | Medicaid | NC | |
| 139XC | Other | NC | BCBS PROVIDER NUMBER |
| 8976031 | Medicaid | NC | |
| 6005716 | Medicaid | NC | |
| 8300313 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 251B00000X | Case Management | (* (Not Available)) | Primary |
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