Provider Demographics
NPI:1942548763
Name:SPRADLIN, WHITNEY ASHLYN RUSSELL (LPC)
Entity Type:Individual
Prefix:
First Name:WHITNEY
Middle Name:ASHLYN RUSSELL
Last Name:SPRADLIN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9400 N CENTRAL EXPY STE 150
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-5033
Mailing Address - Country:US
Mailing Address - Phone:469-341-9136
Mailing Address - Fax:214-360-9366
Practice Address - Street 1:9400 N CENTRAL EXPY STE 150
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-5033
Practice Address - Country:US
Practice Address - Phone:469-341-9136
Practice Address - Fax:214-360-9366
Is Sole Proprietor?:No
Enumeration Date:2013-01-29
Last Update Date:2013-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX65929101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional