=====================================================
General NPI Number Information
=====================================================
NPI Number | 1063828713
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | WHITNEY KNOX MCDANIEL LPC
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/02/2014
-----------------------------------------------------
Last Update Date | 08/22/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4 OFFICE PARK CIR STE 208
-----------------------------------------------------
City | MOUNTAIN BRK
-----------------------------------------------------
State | AL
-----------------------------------------------------
Zip | 35223-2671
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 205-235-6861
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1017 INDEPENDENCE DR
-----------------------------------------------------
City | ALABASTER
-----------------------------------------------------
State | AL
-----------------------------------------------------
Zip | 35007-9381
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 205-565-1229
-----------------------------------------------------
Fax | 205-988-4351
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YP2500X
-----------------------------------------------------
Taxonomy Name | Professional Counselor
-----------------------------------------------------
License Number | 3218
-----------------------------------------------------
License Number State | AL
-----------------------------------------------------