Willis Advanced Counseling Services

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401015730 Issued in MI

Legal business name

WILLIS ADVANCED COUNSELING SERVICES

Practice address

805 Superior St Ste a
Port Huron, MI 48060

Phone

(810) 824-4590

Fax

(810) 937-5439

NPI assigned

Jun 27, 2018

Organization subpart

No

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

Authorized official

Name

Dina Campbell

Title

Owner

Phone

(586) 549-8887

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1530057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645574400000",
    "number": "1225523780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 SUPERIOR ST STE A",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480603771",
            "telephone_number": "810-824-4590",
            "fax_number": "810-937-5439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 SUPERIOR ST STE A",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "48060",
            "telephone_number": "810-824-4590",
            "fax_number": "810-937-5439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIS ADVANCED COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-27",
        "last_updated": "2022-02-23",
        "certification_date": "2022-02-23",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "DINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-549-8887"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401015730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brianna Marie Wilkins
• Timothy J. Wilkins, D.D.S.,M.S.,P.C.
• Cynthia Willey-King, LMSW, ACSW
• Bret Richard Williams, O.D.
• Cody Richard Williams
• Caroline Susan Willis, LLPC
• Jolene Willis
• Kimberly Deborah Willis, CPSS
• Tayler Willis
• Hailey Willoughby, FNP-C

• Professional Counselor in Port Huron, MI
• Providers in Port Huron, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2022; 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.