Provider Demographics
NPI:1194059139
Name:WHIPPLE, SETH (LMHC)
Entity type:Individual
Prefix:
First Name:SETH
Middle Name:
Last Name:WHIPPLE
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2508 WINDWARD CT
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32805-5853
Mailing Address - Country:US
Mailing Address - Phone:817-381-7223
Mailing Address - Fax:
Practice Address - Street 1:2508 WINDWARD CT
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32805-5853
Practice Address - Country:US
Practice Address - Phone:817-381-7223
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-23
Last Update Date:2025-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL20726101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX89304LOtherBCBS
TX206102001Medicaid