Provider Demographics
NPI:1912646308
Name:WHITTLE, HAROLD SCOTT (LMFT)
Entity Type:Individual
Prefix:
First Name:HAROLD
Middle Name:SCOTT
Last Name:WHITTLE
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:278 MIKE DR
Mailing Address - Street 2:
Mailing Address - City:ELKTON
Mailing Address - State:MD
Mailing Address - Zip Code:21921-4959
Mailing Address - Country:US
Mailing Address - Phone:270-779-8622
Mailing Address - Fax:
Practice Address - Street 1:278 MIKE DR
Practice Address - Street 2:
Practice Address - City:ELKTON
Practice Address - State:MD
Practice Address - Zip Code:21921-4959
Practice Address - Country:US
Practice Address - Phone:270-779-8622
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-02
Last Update Date:2023-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY277781101YM0800X
DEFT-0010116106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health