Provider Demographics
NPI:1376054809
Name:WHITTINGHILL, ANGELA M (LMHC)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:M
Last Name:WHITTINGHILL
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 1:1523 OAK LACE CT
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32225-2847
Mailing Address - Country:US
Mailing Address - Phone:904-571-4102
Mailing Address - Fax:
Practice Address - Street 1:1523 OAK LACE CT
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32225-2847
Practice Address - Country:US
Practice Address - Phone:904-571-4102
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-24
Last Update Date:2022-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRMHCI13835101YM0800X
FLMH15607101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health