Provider Demographics
NPI:1437640570
Name:FEGHALI, WHITNEY (LGSW)
Entity Type:Individual
Prefix:
First Name:WHITNEY
Middle Name:
Last Name:FEGHALI
Suffix:
Gender:F
Credentials:LGSW
Other - Prefix:
Other - First Name:WHITNEY
Other - Middle Name:
Other - Last Name:MYERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LGSW
Mailing Address - Street 1:1075 VAN VOORHIS RD STE 200
Mailing Address - Street 2:
Mailing Address - City:MORGANTOWN
Mailing Address - State:WV
Mailing Address - Zip Code:26505-3587
Mailing Address - Country:US
Mailing Address - Phone:304-598-6216
Mailing Address - Fax:304-598-2602
Practice Address - Street 1:1075 VAN VOORHIS RD STE 200
Practice Address - Street 2:
Practice Address - City:MORGANTOWN
Practice Address - State:WV
Practice Address - Zip Code:26505-3587
Practice Address - Country:US
Practice Address - Phone:304-598-6216
Practice Address - Fax:304-598-2602
Is Sole Proprietor?:No
Enumeration Date:2018-05-24
Last Update Date:2021-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVBP00945205104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker