Individual
CODY WILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
120 W RACE AVE STE 12, SEARCY, AR 72143-4237
(501) 712-3392
Mailing address
915 E MARKET AVE, BOX 10803, SEARCY, AR 72149-5615
(501) 712-3392
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
A0802015
AR
101YM0800X
Mental Health Counselor
Primary
P1402016
AR
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
11/14/2007
Last updated
11/03/2025
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