Provider Demographics
NPI:1821526450
Name:GATES, WHITNEY (MSW)
Entity Type:Individual
Prefix:
First Name:WHITNEY
Middle Name:
Last Name:GATES
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:508 E 10TH ST SE
Mailing Address - Street 2:
Mailing Address - City:ROME
Mailing Address - State:GA
Mailing Address - Zip Code:30161-6216
Mailing Address - Country:US
Mailing Address - Phone:706-403-9868
Mailing Address - Fax:
Practice Address - Street 1:1400 CRANE ST SW
Practice Address - Street 2:
Practice Address - City:ROME
Practice Address - State:GA
Practice Address - Zip Code:30161-6333
Practice Address - Country:US
Practice Address - Phone:470-532-3705
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-26
Last Update Date:2017-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health