Provider Demographics
NPI:1760761373
Name:WHITAKER, ERIN (LMHC)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:
Last Name:WHITAKER
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:85 SE 4TH AVE STE 107
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33483-4574
Mailing Address - Country:US
Mailing Address - Phone:561-995-7388
Mailing Address - Fax:
Practice Address - Street 1:85 SE 4TH AVE STE 107
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33483-4574
Practice Address - Country:US
Practice Address - Phone:561-995-7388
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-12
Last Update Date:2014-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH9871101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health