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

Mrs. Kanisha Nicole Willis

Individual provider Professional Counselor · NPI 1962748129

Mrs. Kanisha Nicole Willis is a Professional Counselor in Oklahoma City, Oklahoma. Practices as a sole proprietor. Registered with an NPI since 2012.

In the registry since
2012

Practice location Address checks out

1700 Everglade Ct
Oklahoma City, OK 73128-7002
Phone: (405) 301-5516
Show map & directions

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

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X

Record details

NPI number1962748129
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 17, 2012
Last updated in NPPESMay 19, 2014

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