MEDICARE: TIMOTHY JAMES WHAILEN LCSW

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	1041C0700X	Clinical Social Worker	CSW007682	GA

General Provider Information

NPI Number	:	1609445097
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TIMOTHY JAMES WHAILEN LCSW

Provider Business Mailing Address
First Line	:	9085 CLARK RD
Second Line	:
City	:	FAIRBURN
State	:	GA
Zip	:	30213-1929
Country	:	US
Telephone Number	:	404-480-3731
Fax Number	:

Provider Business Practice Location Address
First Line	:	107 ENTERPRISE PATH STE 301
Second Line	:
City	:	HIRAM
State	:	GA
Zip	:	30141-2690
Country	:	US
Telephone Number	:	706-509-0130
Fax Number	:	706-237-6503

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

Provider Enumeration Date	:	06/21/2021
Last Update Date	:	07/27/2021

Similar Medicare Providers

1336808872 — RESTORATION HOPE WELLNESS CENTER LLC
Practice Location Address:

107 ENTERPRISE PATH STE 301
HIRAM, GA
30141-2690

Practice Phone: 770-309-9417
Practice Fax:

1639839863 — MENYUAN JORDAN LCSW
Practice Location Address:

107 ENTERPRISE PATH STE 300
HIRAM, GA
30141-2690

Practice Phone: 678-588-7982
Practice Fax:

1558127365 — OLIVE TREE THERAPY & WELLNESS, LLC
Practice Location Address:

107 ENTERPRISE PATH STE 300
HIRAM, GA
30141-2690

Practice Phone: 678-361-5369
Practice Fax:

1003774944 — JOSEPH WILSON
Practice Location Address:

86 NORMAS WAY
HIRAM, GA
30141-4632

Practice Phone: 770-570-0100
Practice Fax:

1992321301 — HOPE HARBOR WELLNESS LLC
Practice Location Address:

126 ENTERPRISE PATH STE 208
HIRAM, GA
30141-2654

Practice Phone: 770-573-9546
Practice Fax:

1992402531 — HOOKED ON HOPE LLC
Practice Location Address:

126 ENTERPRISE PATH STE 207
HIRAM, GA
30141-2654

Practice Phone: 609-480-9853
Practice Fax:

Directions to “ TIMOTHY JAMES WHAILEN LCSW” 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.