Healthcare Provider Details

I. General information

NPI: 1295006906
Provider Name (Legal Business Name): WHITNEY THOMPSON LCPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: WHITNEY HINES

II. Dates (important events)

Enumeration Date: 01/26/2012
Last Update Date: 11/08/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

288 E GREEN ST
WESTMINSTER MD
21157-5410
US

IV. Provider business mailing address

7434 SPRINGFIELD AVE
SYKESVILLE MD
21784-7550
US

V. Phone/Fax

Practice location:
  • Phone: 410-751-5970
  • Fax: 410-751-5974
Mailing address:
  • Phone: 410-746-5868
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLC4651
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: