Provider Demographics
NPI:1225350655
Name:WHITTINGTON, WENDY G (LMHC)
Entity Type:Individual
Prefix:MS
First Name:WENDY
Middle Name:G
Last Name:WHITTINGTON
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5332 RIVEREDGE DR
Mailing Address - Street 2:
Mailing Address - City:TITUSVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32780-7338
Mailing Address - Country:US
Mailing Address - Phone:321-264-4033
Mailing Address - Fax:321-264-4098
Practice Address - Street 1:5332 RIVEREDGE DR
Practice Address - Street 2:
Practice Address - City:TITUSVILLE
Practice Address - State:FL
Practice Address - Zip Code:32780-7338
Practice Address - Country:US
Practice Address - Phone:321-264-4033
Practice Address - Fax:321-264-4098
Is Sole Proprietor?:No
Enumeration Date:2010-02-26
Last Update Date:2010-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH 9853101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health