Charlesetta Willis, MHA, MS, RN
NPI 1104575646 · Mental Health Counselor · Martinez, GA
Charlesetta Willis, MHA, MS, RN is a Mental Health Counselor provider in Martinez, GA (NPI 1104575646).
Provider details
- NPI number
- 1104575646
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- MHA, MS, RN
- Sex
- Female
- Sole proprietor
- No
- License
- RN219487 (GA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Nursing Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-03-22
- Last updated
- 2022-10-13
- Certified
- 2022-06-07
Frequently asked questions
- What is Charlesetta Willis's NPI number?
- Charlesetta Willis's National Provider Identifier (NPI) is 1104575646, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Charlesetta Willis's specialty?
- Charlesetta Willis is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Charlesetta Willis located?
- Charlesetta Willis's practice location on file with NPPES is 4145 Columbia Rd, Martinez, GA 30907-5400.
- What is Charlesetta Willis's phone number?
- The practice phone number listed in the NPPES registry for Charlesetta Willis is (706) 869-7373.
- Is Charlesetta Willis's NPI active?
- Yes — Charlesetta Willis's NPI (1104575646) is active in the NPPES registry as of the last update on 2022-10-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.