MEDICARE: WHITTNEY ELISE DOUGLAS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number	:	1447924949
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WHITTNEY ELISE DOUGLAS

Provider Business Mailing Address
First Line	:	4351 TELFAIR BLVD APT G410
Second Line	:
City	:	CAMP SPRINGS
State	:	MD
Zip	:	20746-4291
Country	:	US
Telephone Number	:	901-573-1623
Fax Number	:

Provider Business Practice Location Address
First Line	:	4400 STAMP RD STE 208B
Second Line	:
City	:	TEMPLE HILLS
State	:	MD
Zip	:	20748-6728
Country	:	US
Telephone Number	:	301-278-7956
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/06/2021
Last Update Date	:	08/06/2021

Similar Medicare Providers

1134178718 — DR. EMMANUEL A ATIEMO M.D.
Practice Location Address:

4400 STAMP RD
TEMPLE HILLS, MD
20748-6728

Practice Phone: 301-423-5494
Practice Fax: 301-423-0154

1952183998 — JASMINE SIMMONS LMT
Practice Location Address:

4400 STAMP RD STE 202
TEMPLE HILLS, MD
20748-6728

Practice Phone: 202-845-0786
Practice Fax:

1073799169 — RICHARD LEE GOLDEN PH.D.
Practice Location Address:

20740 MARTHA ST
WOODLAND HILLS, CA
91367-6728

Practice Phone: 818-884-8557
Practice Fax: 818-884-3042

1437985686 — LUMAN MO
Practice Location Address:

7805 CHADDINGTON CT
NORTH RICHLAND HILLS, TX
76182-6728

Practice Phone: 405-385-4939
Practice Fax:

1316908395 — DR. MARK MORGAN M.D.
Practice Location Address:

1815 S 31ST ST
TEMPLE, TX
76504-6728

Practice Phone: 254-724-2111
Practice Fax:

1457314528 — SCOTT & WHITE CLINIC
Practice Location Address:

1815 S 31ST ST
TEMPLE, TX
76504-6728

Practice Phone: 254-724-2020
Practice Fax: 254-724-9571

Directions to “ WHITTNEY ELISE DOUGLAS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.