Provider Demographics
NPI:1881869436
Name:WILLIS, APRIL LYNN
Entity type:Individual
Prefix:MRS
First Name:APRIL
Middle Name:LYNN
Last Name:WILLIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6526 GEORGIAN WAY
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31909-4443
Mailing Address - Country:US
Mailing Address - Phone:706-573-1508
Mailing Address - Fax:706-561-3000
Practice Address - Street 1:6526 GEORGIAN WAY
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31909-4443
Practice Address - Country:US
Practice Address - Phone:706-573-1508
Practice Address - Fax:706-561-3000
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-24
Last Update Date:2008-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker