MEDICARE: WHITNEY HACKER

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	101YM0800X	Mental Health Counselor	88002729A	IN

General Provider Information

NPI Number	:	1740172014
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WHITNEY HACKER

Provider Business Mailing Address
First Line	:	13 MEADOW LN STE 11
Second Line	:
City	:	HIGHLAND HEIGHTS
State	:	KY
Zip	:	41076-3775
Country	:	US
Telephone Number	:	606-304-0921
Fax Number	:

Provider Business Practice Location Address
First Line	:	13 MEADOW LN STE 11
Second Line	:
City	:	HIGHLAND HEIGHTS
State	:	KY
Zip	:	41076-3775
Country	:	US
Telephone Number	:	606-304-0921
Fax Number	:

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

Provider Enumeration Date	:	07/19/2025
Last Update Date	:	07/19/2025

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Directions to “ WHITNEY HACKER ” Practice Location

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