Provider Demographics
NPI:1407053630
Name:WHITNEY, SHANNAH FRAME (LMHC)
Entity Type:Individual
Prefix:
First Name:SHANNAH
Middle Name:FRAME
Last Name:WHITNEY
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:SHANNAH
Other - Middle Name:
Other - Last Name:FRAME
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9 LOCUST ST
Mailing Address - Street 2:
Mailing Address - City:WARWICK
Mailing Address - State:NY
Mailing Address - Zip Code:10990-1029
Mailing Address - Country:US
Mailing Address - Phone:845-986-9633
Mailing Address - Fax:
Practice Address - Street 1:14 WEST ST
Practice Address - Street 2:
Practice Address - City:WARWICK
Practice Address - State:NY
Practice Address - Zip Code:10990-1402
Practice Address - Country:US
Practice Address - Phone:845-986-9633
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002573101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health