Willis, Heather Nicole

Willis, Heather Nicole is an individual health care provider with primary practice located at 650 Joel Dr. , Fort Campbell KY 42223-8262. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Willis, Heather Nicole can be contacted via phone (270) 798-8437.

Contact Information

Primary practice address
650 Joel Dr. Fort Campbell KY 42223-8262
Phone: (270) 798-8437
Fax: (270) 412-9527
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 2815 Tennessee
Behavioral Health & Social Service Providers / Clinical 103TC0700X KY-129385 Kentucky

Profile Details

NPI number 1619121944
LBN Legal business name Willis, Heather Nicole
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2008
Last updated Mar 19th, 2026 - about 7 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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