Provider Demographics
NPI:1679301295
Name:WILLHOIT, KANDI DAWN (LPC-MHSP)
Entity type:Individual
Prefix:
First Name:KANDI
Middle Name:DAWN
Last Name:WILLHOIT
Suffix:
Gender:F
Credentials:LPC-MHSP
Other - Prefix:
Other - First Name:KANDI
Other - Middle Name:DAWN
Other - Last Name:WILLHOIT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3380 W TRIMBLE RD
Mailing Address - Street 2:
Mailing Address - City:MILTON
Mailing Address - State:TN
Mailing Address - Zip Code:37118-4429
Mailing Address - Country:US
Mailing Address - Phone:615-278-8148
Mailing Address - Fax:
Practice Address - Street 1:3380 W TRIMBLE RD
Practice Address - Street 2:
Practice Address - City:MILTON
Practice Address - State:TN
Practice Address - Zip Code:37118-4429
Practice Address - Country:US
Practice Address - Phone:615-278-8148
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-24
Last Update Date:2024-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN6910101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health