Provider Demographics
NPI:1457500183
Name:WHISNANT, SOMMER
Entity Type:Individual
Prefix:
First Name:SOMMER
Middle Name:
Last Name:WHISNANT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3828 PARKERS FRY
Mailing Address - Street 2:
Mailing Address - City:FORT MILL
Mailing Address - State:SC
Mailing Address - Zip Code:29715-6555
Mailing Address - Country:US
Mailing Address - Phone:803-760-5927
Mailing Address - Fax:
Practice Address - Street 1:3828 PARKERS FRY
Practice Address - Street 2:
Practice Address - City:FORT MILL
Practice Address - State:SC
Practice Address - Zip Code:29715-6555
Practice Address - Country:US
Practice Address - Phone:803-760-5927
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-09-18
Last Update Date:2010-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health