Provider Demographics
NPI:1043898679
Name:WHITT, DANA JANELL (LCMHC)
Entity Type:Individual
Prefix:
First Name:DANA
Middle Name:JANELL
Last Name:WHITT
Suffix:
Gender:F
Credentials:LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:912 N ELM ST
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27401-1513
Mailing Address - Country:US
Mailing Address - Phone:336-223-4680
Mailing Address - Fax:888-920-3257
Practice Address - Street 1:912 N ELM ST
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27401-1513
Practice Address - Country:US
Practice Address - Phone:336-223-4680
Practice Address - Fax:888-920-3257
Is Sole Proprietor?:No
Enumeration Date:2021-04-02
Last Update Date:2022-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC16432101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health