Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Breonna Shanice Willis

Individual provider Counselor · NPI 1871198994

Breonna Shanice Willis is a Counselor in Orlando, Florida. Practices as a sole proprietor. Registered with an NPI since 2020.

In the registry since
2020
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Practice location Address checks out

482 S Keller Rd
Orlando, FL 32810-6130
Phone: (689) 204-3341
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X

Record details

NPI number1871198994
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 4, 2020
Last updated in NPPESDecember 4, 2020
Certification dateDecember 4, 2020

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