Provider Demographics
NPI:1326407990
Name:WHATLEY, BETH (MS LPC)
Entity Type:Individual
Prefix:
First Name:BETH
Middle Name:
Last Name:WHATLEY
Suffix:
Gender:F
Credentials:MS LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:912 W BRIDGE ST
Mailing Address - Street 2:
Mailing Address - City:WETUMPKA
Mailing Address - State:AL
Mailing Address - Zip Code:36092-2126
Mailing Address - Country:US
Mailing Address - Phone:334-279-7830
Mailing Address - Fax:334-277-8862
Practice Address - Street 1:8721 US HIGHWAY 231
Practice Address - Street 2:
Practice Address - City:WETUMPKA
Practice Address - State:AL
Practice Address - Zip Code:36092-5342
Practice Address - Country:US
Practice Address - Phone:334-279-7830
Practice Address - Fax:334-567-9633
Is Sole Proprietor?:No
Enumeration Date:2016-02-11
Last Update Date:2016-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL3459101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional