Provider Demographics
NPI:1598201683
Name:BADRAMRAJU, WHITNEY (MA, LPCA, NCC)
Entity Type:Individual
Prefix:
First Name:WHITNEY
Middle Name:
Last Name:BADRAMRAJU
Suffix:
Gender:F
Credentials:MA, LPCA, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8604 CLIFF CAMERON DR STE 152
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28269-8526
Mailing Address - Country:US
Mailing Address - Phone:704-510-5600
Mailing Address - Fax:704-510-5601
Practice Address - Street 1:8604 CLIFF CAMERON DR STE 152
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28269-8526
Practice Address - Country:US
Practice Address - Phone:704-510-5600
Practice Address - Fax:704-510-5601
Is Sole Proprietor?:No
Enumeration Date:2017-01-12
Last Update Date:2019-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA11631101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health