Doctor Name: | BETH WHATLEY |
NPI Number: | 1326407990 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS LPC |
License Number: | 3459 |
Business Practice Address: | 8721 Us Highway 231 Wetumpka, AL - 360925342 |
Business Phone Number: | 3342797830 |
Business Fax Number: | 3345679633 |
Mailing Address: | 912 W Bridge St, WETUMPKA |
State: | AL |
Postal Code: | 360922126 |
Phone Number: | 3342797830 |
Fax Number: | 3342778862 |
NPI Enumeration Date: | 02/11/2016 |
NPI Last Update Date: | 02/11/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 3459 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |