Provider Demographics
NPI:1306652052
Name:WHITMAN, RYAN (LCSW, LCDC)
Entity type:Individual
Prefix:
First Name:RYAN
Middle Name:
Last Name:WHITMAN
Suffix:
Gender:M
Credentials:LCSW, LCDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5777 SIENNA PKWY STE 350
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-7403
Mailing Address - Country:US
Mailing Address - Phone:281-778-8715
Mailing Address - Fax:281-778-8734
Practice Address - Street 1:5777 SIENNA PKWY STE 350
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-7403
Practice Address - Country:US
Practice Address - Phone:281-778-8715
Practice Address - Fax:281-778-8734
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-07
Last Update Date:2024-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX691661041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical