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Organization
R & S WILLIS, INC
Active
Organization
R & S WILLIS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT WILLIS (EXECUTIVE DIRECTOR)
(704) 868-9117
Entity
Organization
Contact information
Practice address
438 E LONG AVE, GASTONIA, NC 28054-3501
(704) 868-9117
(704) 868-9159
Mailing address
438 E LONG AVE, GASTONIA, NC 28054-3501
(704) 868-9117
(704) 868-9159
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
251B00000X
Case Management Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
139XC
BCBS PROVIDER NUMBER
NC
05
—
5900984
—
NC
05
—
6005716
—
NC
05
—
6102732
—
NC
05
—
8300313
—
NC
05
—
8300313B
—
NC
05
—
8300313G
—
NC
05
—
8300313H
—
NC
05
—
8700462
—
NC
05
—
8976031
—
NC
Enumeration date
09/16/2006
Last updated
09/11/2025
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