Organization
WILL'S WAY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANNELL ROBERTS PH.D., BCBA. (OWNER)
(601) 255-5264
Entity
Organization
Contact information
Practice address
22 MILLBRANCH RD STE 1200, HATTIESBURG, MS 39402
(601) 255-5264
(866) 625-0559
Mailing address
22 MILLBRANCH RD STE 1200, HATTIESBURG, MS 39402-1594
(601) 255-5264
(866) 625-0559
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-11-9207
MS
103T00000X
Psychologist
Primary
47821
MS
261QM0855X
Adolescent and Children Mental Health Clinic/Center
47821
MS
Other
Enumeration date
02/06/2012
Last updated
09/07/2018
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