Provider Demographics
NPI:1124757323
Name:WHITMER, AMBER (LPC, LADC/MH)
Entity type:Individual
Prefix:
First Name:AMBER
Middle Name:
Last Name:WHITMER
Suffix:
Gender:F
Credentials:LPC, LADC/MH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1409 SW 86TH ST
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73159-6224
Mailing Address - Country:US
Mailing Address - Phone:405-314-1749
Mailing Address - Fax:
Practice Address - Street 1:13909 TECHNOLOGY DR STE A1
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73134-1060
Practice Address - Country:US
Practice Address - Phone:405-708-6331
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-06
Last Update Date:2022-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)