| Doctor Name: | MR. TIM J WHITE |
| NPI Number: | 1003085291 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MA, LPC |
| License Number: | 5502 |
| Business Practice Address: | 1912 Eastchester Dr Ste. 106-a High Point, NC - 272653501 |
| Business Phone Number: | 3365093299 |
| Business Fax Number: | |
| Mailing Address: | 1912 Eastchester Dr, Ste. 106-a HIGH POINT |
| State: | NC |
| Postal Code: | 272653501 |
| Phone Number: | 3365093299 |
| Fax Number: | |
| NPI Enumeration Date: | 02/21/2008 |
| NPI Last Update Date: | 02/13/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 5502 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |