Erin Marie Willoughby, MRC, CAP
Individual provider Active NPI Mental Health Counselor · Jay, FL
NPI 1962748616 · NPPES record last updated Dec 28, 2012
Key facts
- NPI
- 1962748616
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- NONE (FL)
- Practice address
- 4063A Highway 4
Jay, FL 32565-9796 - Phone
- (937) 367-6549
- NPI assigned
- Dec 28, 2012
- Sex
- Female
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NONE | FL | MD | Physician Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NONE | FL | Yes |
Addresses
Primary practice location
4063A Highway 4
Jay, FL 32565-9796
Mailing address
4063A Highway 4
Jay, FL 32565-9796
Phone (937) 367-6549
Other providers in Jay, FL
- Spencer Antoine Taylor
- The Terrace at Ivey Acres of Jay
- Tri-City Home Medical, Inc.
- Maren Vanatta
- Elizabeth Anne Whitfield
- Joseph W. Wolfe
All providers in Jay, FL · Mental Health Counselor in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 28, 2012. 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.