Individual
LARRY CARL WILLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD LPC
Contact information
Practice address
600 GREEN VALLEY RD, SUITE 204, GREENSBORO, NC 27408-7722
(336) 292-1510
(336) 292-0679
Mailing address
600 GREEN VALLEY RD, SUITE 204, GREENSBORO, NC 27408-7722
(336) 292-1510
(336) 292-0679
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1002
NC
106H00000X
Marriage & Family Therapist
Primary
1002
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09347900
MAGELLA BEH HEALTH
—
05
—
6102901
—
NC
01
—
87441
BCBS
NC
Enumeration date
09/29/2006
Last updated
09/11/2025
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