Provider Demographics
NPI:1669290185
Name:ELROD, WHITNEY M (ALC)
Entity type:Individual
Prefix:
First Name:WHITNEY
Middle Name:M
Last Name:ELROD
Suffix:
Gender:F
Credentials:ALC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6009 WENDY CIR
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35213-1123
Mailing Address - Country:US
Mailing Address - Phone:205-542-3973
Mailing Address - Fax:
Practice Address - Street 1:2125 DATA OFFICE DR STE 115
Practice Address - Street 2:
Practice Address - City:HOOVER
Practice Address - State:AL
Practice Address - Zip Code:35244-2529
Practice Address - Country:US
Practice Address - Phone:205-440-2968
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-02
Last Update Date:2024-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALALC05021101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor