Provider Demographics
NPI:1356104491
Name:SISLER, WHITNEY BROOKE (BS)
Entity type:Individual
Prefix:MISS
First Name:WHITNEY
Middle Name:BROOKE
Last Name:SISLER
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:249 OAKLAND AVE
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON
Mailing Address - State:WV
Mailing Address - Zip Code:25705-1311
Mailing Address - Country:US
Mailing Address - Phone:304-894-4435
Mailing Address - Fax:
Practice Address - Street 1:200 UPPER KANAWHA VALLEY WAY
Practice Address - Street 2:
Practice Address - City:CHELYAN
Practice Address - State:WV
Practice Address - Zip Code:25305
Practice Address - Country:US
Practice Address - Phone:304-553-2034
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-01
Last Update Date:2024-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)