Provider Demographics
NPI:1013742428
Name:WHITEHOUSE, ALINA MARIE
Entity type:Individual
Prefix:
First Name:ALINA
Middle Name:MARIE
Last Name:WHITEHOUSE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 MONTROSE WEST AVE APT 1312
Mailing Address - Street 2:
Mailing Address - City:COPLEY
Mailing Address - State:OH
Mailing Address - Zip Code:44321-1595
Mailing Address - Country:US
Mailing Address - Phone:330-402-7176
Mailing Address - Fax:
Practice Address - Street 1:524 W PARK AVE STE 1
Practice Address - Street 2:
Practice Address - City:BARBERTON
Practice Address - State:OH
Practice Address - Zip Code:44203-2587
Practice Address - Country:US
Practice Address - Phone:330-753-1096
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-05
Last Update Date:2024-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker