Willis, Karen Alesia

Willis, Karen Alesia is an sole proprietor health care provider with primary practice located at 5642 Jones St , Milton FL 32570-2304. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Willis, Karen Alesia can be contacted via phone (850) 626-7779.

Contact Information

Primary practice address
5642 Jones St Milton FL 32570-2304
Phone: (850) 626-7779
Fax: (850) 626-7171
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH8971 Florida
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MT2297 Florida

Profile Details

NPI number 1518096247
LBN Legal business name Willis, Karen Alesia
Credentials LMHC, LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 6th, 2007
Last updated Aug 12th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1518096247 NPPES
Florida MEDICAID 101581000

Popular Providers