Provider Demographics
NPI:1376163964
Name:WILHOIT, BETHANY (LPC)
Entity type:Individual
Prefix:MRS
First Name:BETHANY
Middle Name:
Last Name:WILHOIT
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MS
Other - First Name:BETHANY
Other - Middle Name:
Other - Last Name:AUSMUS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3715 NORTHSIDE PKWY NW
Mailing Address - Street 2:BLDG 100, STE 500
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30327
Mailing Address - Country:US
Mailing Address - Phone:404-954-1480
Mailing Address - Fax:404-954-1480
Practice Address - Street 1:3715 NORTHSIDE PKWY NW
Practice Address - Street 2:BLDG 100, STE 500
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30327
Practice Address - Country:US
Practice Address - Phone:404-954-1480
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-23
Last Update Date:2024-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health