Will's Way, LLC

Primary specialty

School PsychologistTaxonomy code 103TS0200X

License

47821 Issued in MS

Legal business name

WILL'S WAY, LLC

Practice address

604 Adeline St
Suite B
Hattiesburg, MS 39401-3842

Phone

(601) 466-9190

Fax

(186) 662-5055

NPI assigned

Sep 28, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Dannell Speights Roberts, PH.D.

Title

Co-Owner Program Director

Phone

(601) 466-9190

Specialties & licenses 2

Addresses

Tax ID family

Will's Way LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Will's Way, LLC

  • Psychologist
  • Hattiesburg, MS
  • NPI 1952673915
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Neelima Gutti Duncan, PH.D.

  • Psychologist
  • Ridgeland, MS
  • NPI 1942571864
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1317168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317168000000",
    "number": "1063795870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15955",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394045955",
            "telephone_number": "601-466-9190",
            "fax_number": "186-662-5055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 ADELINE ST",
            "address_2": "SUITE B",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394013842",
            "telephone_number": "601-466-9190",
            "fax_number": "186-662-5055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILL'S WAY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-28",
        "last_updated": "2011-09-28",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "DANNELL",
        "authorized_official_middle_name": "SPEIGHTS",
        "authorized_official_title_or_position": "CO-OWNER PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "601-466-9190",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, School",
            "state": "MS",
            "license": "47821",
            "primary": true
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, School",
            "state": "MS",
            "license": "204130",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trent Dylan Wilkerson, DMD
• Christopher Wilkes, LCSW, CAADC
• Heather J Wilkes, LCSW
• Robert G Wilkins, MD
• Whitney Wilkinson, FNP-C
• Will's Way, LLC
• William Carey University (WCU Sports Medicine)
• Treenecia Rochelle Williams-Garraway, P-LPC, NCC, NCSC
• Alexesia S. Williams, LPN
• Ann Austin Williams, O. D.

• School Psychologist in Hattiesburg, MS
• Providers in Hattiesburg, MS by specialty
• School Psychologist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.