Provider Demographics
NPI:1043841471
Name:OWENS, WHITNEY TROUTMAN (LPC)
Entity Type:Individual
Prefix:
First Name:WHITNEY
Middle Name:TROUTMAN
Last Name:OWENS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:414 COLUMBUS DR
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31405-4305
Mailing Address - Country:US
Mailing Address - Phone:706-206-9090
Mailing Address - Fax:
Practice Address - Street 1:2103 BULL ST
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31401-8530
Practice Address - Country:US
Practice Address - Phone:912-319-5552
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-04
Last Update Date:2020-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC008868101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional