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General NPI Number Information
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NPI Number | 1770022378
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Entity Type | Individual
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Provider Name | WHITNEY RENEE WILLIAMS LMHC
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Gender | Female
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Dates
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Enumeration Date | 02/15/2017
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Last Update Date | 10/23/2024
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Provider Practice Location Address
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Address Line | 4476 LEGENDARY DR STE 203
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City | DESTIN
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State | FL
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Zip | 32541-5347
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Country | US
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Telephone | 352-615-0879
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Fax |
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Provider Business Mailing Address
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Address Line | 422 WHISPERING CREEK AVE
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City | FREEPORT
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State | FL
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Zip | 32439-3129
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Country | US
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Telephone | 352-615-0879
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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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 | MH24221
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License Number State | FL
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