Willie A. Eppenger
Individual provider Active NPI Mental Health Counselor · Como, MS
NPI 1578028262 · NPPES record last updated Feb 6, 2019
Key facts
- NPI
- 1578028262
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 6209 A Hwy 310
Como, MS 38619 - Phone
- (662) 288-3189
- NPI assigned
- Feb 6, 2019
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
6209 A Hwy 310
Como, MS 38619
Mailing address
156 Highway 51 N
Batesville, MS 38606-2348
Phone (662) 712-6257
Other providers in Como, MS
- Aaron E. Henry Community Health Services Center, Inc
- Akisha Nicole Bailey- Chapman
- Kawunis Hall Sr.
- Shalonda Machelle Harris
- HTS LLC
- Ann Marie Muhammad
- Rankierra Pratcher
All providers in Como, MS · Mental Health Counselor in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 6, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.