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General NPI Number Information
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NPI Number | 1659464873
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Entity Type | Organization
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Legal Business Name | E S WHITAKER & ASSOCIATES
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Dates
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Enumeration Date | 10/02/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 2101 EXECUTIVE DRIVE TOWER BOX 7
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City | HAMPTON
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State | VA
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Zip | 23666
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Country | US
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Telephone | 757-838-4144
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Fax | 757-827-8193
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Provider Business Mailing Address
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Address Line | 2101 EXECUTIVE DRIVE TOWER BOX 7
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City | HAMPTON
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State | VA
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Zip | 23666
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Country | US
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Telephone | 757-838-4144
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Fax | 757-827-8193
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Authorized Official
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Title or Position | OWNER
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Name | MS. ELAINE SANDRA WHITAKER
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Credential | LCSW
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Telephone | 757-838-4144
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number | 0904001171
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 0904001171
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License Number State | VA
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