Individual
MR. CHARLES STEPHEN WILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.MFT
Contact information
Practice address
500 CHESTNUT ST, STE. 1001, ABILENE, TX 79602-1453
(325) 437-1001
(325) 437-1005
Mailing address
PO BOX 3711, ABILENE, TX 79604-3711
(325) 437-1001
(325) 437-1005
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
9937
TX
106H00000X
Marriage & Family Therapist
1800
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0262651-01
—
TX
01
—
2617LC
BLUECROSS/BLUESHIELD
—
Enumeration date
10/19/2006
Last updated
12/09/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us