Provider Demographics
NPI:1508297706
Name:WHATLEY, LOUIS DANIEL (LPC)
Entity Type:Individual
Prefix:MR
First Name:LOUIS
Middle Name:DANIEL
Last Name:WHATLEY
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8707 SAN BENITO WAY
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75218-4248
Mailing Address - Country:US
Mailing Address - Phone:214-957-6866
Mailing Address - Fax:
Practice Address - Street 1:16610 DALLAS PKWY
Practice Address - Street 2:SUITE 2100
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75248-2617
Practice Address - Country:US
Practice Address - Phone:972-733-3988
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-12-12
Last Update Date:2013-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX66244101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional