Provider Demographics
NPI:1962602425
Name:WILLS, SANDRA C (MA, LPC/MHSP)
Entity type:Individual
Prefix:MS
First Name:SANDRA
Middle Name:C
Last Name:WILLS
Suffix:
Gender:F
Credentials:MA, LPC/MHSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8120 SAWYER BROWN RD STE 108B
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37221-1427
Mailing Address - Country:US
Mailing Address - Phone:615-673-0222
Mailing Address - Fax:
Practice Address - Street 1:8120 SAWYER BROWN RD STE 108B
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37221-1427
Practice Address - Country:US
Practice Address - Phone:615-673-0222
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-23
Last Update Date:2007-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1862101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional