MEDICARE: HELEN T WHITLEY, LCSW, INC.

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	2001	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1093809220	OTHER	GA	INDIVIDUAL NPI

General Provider Information

NPI Number	:	1689043200
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HELEN T WHITLEY, LCSW, INC.

Provider Business Mailing Address
First Line	:	131 MIRRAMONT LAKE DR
Second Line	:
City	:	WOODSTOCK
State	:	GA
Zip	:	30189-8215
Country	:	US
Telephone Number	:	770-517-3363
Fax Number	:	770-517-3308

Provider Business Practice Location Address
First Line	:	131 MIRRAMONT LAKE DR
Second Line	:
City	:	WOODSTOCK
State	:	GA
Zip	:	30189-8215
Country	:	US
Telephone Number	:	770-517-3363
Fax Number	:	770-517-3308

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. HELEN T WHITLEY
Credential	:	LCSW
Telephone Number	:	770-517-3363

Provider Enumeration Date	:	09/24/2015
Last Update Date	:	09/24/2015

Similar Medicare Providers

1205911351 — MRS. CAROLA BARBARA HERTLE-JONES MSW
Practice Location Address:

131 MIRRAMONT LAKE DR
WOODSTOCK, GA
30189-8215

Practice Phone: 770-517-3363
Practice Fax: 770-517-3308

1922183185 — MICHELLE FAYE HODGES LCSW
Practice Location Address:

131 MIRRAMONT LAKE DR
WOODSTOCK, GA
30189-8215

Practice Phone: 770-517-3363
Practice Fax: 770-517-3308

1306012471 — KATHERINE EMILY-FRANCES HEALY LMT
Practice Location Address:

129 MIRRAMONT LAKE DR
WOODSTOCK, GA
30189-8215

Practice Phone: 404-725-1274
Practice Fax:

1356155444 — STACI MACKAY-MERCER CO
Practice Location Address:

129 MIRRAMONT LAKE DR
WOODSTOCK, GA
30189-8215

Practice Phone: 770-401-1408
Practice Fax:

1497558472 — MERCIFUL O&P LLC
Practice Location Address:

129 MIRRAMONT LAKE DR
WOODSTOCK, GA
30189-8215

Practice Phone: 770-800-2030
Practice Fax: 770-800-2030

1790623577 — MARYAH BOOKER
Practice Location Address:

4580 TOWNE LAKE PKWY
WOODSTOCK, GA
30189-5521

Practice Phone: 770-592-2195
Practice Fax:

Directions to “HELEN T WHITLEY, LCSW, INC. ” 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.