| Doctor Name: | MRS. ROBERTA A WHISNANT |
| NPI Number: | 1164775896 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LAPC |
| License Number: | LPC007234 |
| Business Practice Address: | 992 Cannon Bridge Rd Demorest, GA - 30535 |
| Business Phone Number: | 7069687510 |
| Business Fax Number: | |
| Mailing Address: | 158 Highland Close Rd, LULA |
| State: | GA |
| Postal Code: | 305543500 |
| Phone Number: | 7069687510 |
| Fax Number: | |
| NPI Enumeration Date: | 10/18/2012 |
| NPI Last Update Date: | 06/26/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | LPC007234 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | GA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |