Provider Demographics
NPI:1376613166
Name:WHITT, FRIEDA GAIL (LICENSED PROF COUNSE)
Entity Type:Individual
Prefix:MRS
First Name:FRIEDA
Middle Name:GAIL
Last Name:WHITT
Suffix:
Gender:F
Credentials:LICENSED PROF COUNSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:440 PARK AVENUE
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:TN
Mailing Address - Zip Code:37087
Mailing Address - Country:US
Mailing Address - Phone:615-449-9611
Mailing Address - Fax:615-453-7051
Practice Address - Street 1:440 PARK AVENUE
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:TN
Practice Address - Zip Code:37087
Practice Address - Country:US
Practice Address - Phone:615-449-9611
Practice Address - Fax:615-453-7051
Is Sole Proprietor?:No
Enumeration Date:2006-11-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1147101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional