Provider Demographics
NPI:1275569246
Name:WHITT, JOAN H (LPC)
Entity Type:Individual
Prefix:PROF
First Name:JOAN
Middle Name:H
Last Name:WHITT
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 1:3000 N GARFIELD ST
Mailing Address - Street 2:SUITE 215
Mailing Address - City:MIDLAND
Mailing Address - State:TX
Mailing Address - Zip Code:79705-6400
Mailing Address - Country:US
Mailing Address - Phone:432-570-0096
Mailing Address - Fax:432-682-1442
Practice Address - Street 1:3000 N GARFIELD ST
Practice Address - Street 2:SUITE 215
Practice Address - City:MIDLAND
Practice Address - State:TX
Practice Address - Zip Code:79705-6400
Practice Address - Country:US
Practice Address - Phone:432-570-0096
Practice Address - Fax:432-682-1442
Is Sole Proprietor?:No
Enumeration Date:2006-06-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10245101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional