Healthcare Provider Details

I. General information

NPI: 1023272044
Provider Name (Legal Business Name): WHITNEY WARREN ALEXANDER LMFT, LADC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/18/2008
Last Update Date: 03/26/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

416 S LEWIS ST
STILLWATER OK
74074-3517
US

IV. Provider business mailing address

416 S LEWIS ST
STILLWATER OK
74074-3517
US

V. Phone/Fax

Practice location:
  • Phone: 405-742-0699
  • Fax:
Mailing address:
  • Phone: 405-742-0699
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number739
License Number StateOK
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number917
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: