Provider Demographics
NPI:1093483539
Name:ALSTON-BROWN, WHITNEY TASHAE (LCMHC-A LCAS-A)
Entity Type:Individual
Prefix:
First Name:WHITNEY
Middle Name:TASHAE
Last Name:ALSTON-BROWN
Suffix:
Gender:F
Credentials:LCMHC-A LCAS-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6026 SIX FORKS RD
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27609-3899
Mailing Address - Country:US
Mailing Address - Phone:919-865-8710
Mailing Address - Fax:919-977-9760
Practice Address - Street 1:6026 SIX FORKS RD
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-3899
Practice Address - Country:US
Practice Address - Phone:919-865-8710
Practice Address - Fax:919-977-9760
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-31
Last Update Date:2022-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCLCAS-27004101YA0400X
NC1550994101YM0800X
NCA17204101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty