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

Mr. Willie H Bannister, LPC

Individual provider Professional Counselor · NPI 1215354022

Mr. Willie H Bannister, LPC is a Mental Health Counselor in Lithonia, Georgia. Qualified in 1996, 30 years ago. Practices as a sole proprietor. Licensed in Georgia.

Years since qualifying
30
Licensed in
GA
In the registry since
2014
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

1954 Woodlot Trl
Lithonia, GA 30058-5484
Phone: (678) 637-8562
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence LPC003808 (GA)

Record details

NPI number1215354022
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC
Sole proprietorYes
NPI enumeratedMarch 19, 2014
Last updated in NPPESMarch 19, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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