Provider Demographics
NPI:1679219521
Name:THIRY, WHITNEY (LLMSW)
Entity Type:Individual
Prefix:
First Name:WHITNEY
Middle Name:
Last Name:THIRY
Suffix:
Gender:F
Credentials:LLMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2939 DANA POINTE DR
Mailing Address - Street 2:
Mailing Address - City:PINCKNEY
Mailing Address - State:MI
Mailing Address - Zip Code:48169-8511
Mailing Address - Country:US
Mailing Address - Phone:810-623-6444
Mailing Address - Fax:
Practice Address - Street 1:2939 DANA POINTE DR
Practice Address - Street 2:
Practice Address - City:PINCKNEY
Practice Address - State:MI
Practice Address - Zip Code:48169-8511
Practice Address - Country:US
Practice Address - Phone:810-623-6444
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-12
Last Update Date:2022-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical