Healthcare Provider Details

I. General information

NPI: 1669396362
Provider Name (Legal Business Name): TERRI WHALEN LICSW MSW LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2026
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

623 S SEMINARY ST
FLORENCE AL
35630-5618
US

IV. Provider business mailing address

4637 COUNTY ROAD 24
FLORENCE AL
35634-5724
US

V. Phone/Fax

Practice location:
  • Phone: 256-364-1570
  • Fax:
Mailing address:
  • Phone: 257-263-2009
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: TERRI WHALEN
Title or Position: OWNER
Credential: LICSW
Phone: 256-263-2009