Provider Demographics
NPI:1336340306
Name:WHITNEY, SHATAIA BROWN (LMFT)
Entity type:Individual
Prefix:MRS
First Name:SHATAIA
Middle Name:BROWN
Last Name:WHITNEY
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7322 RAINIER AVENUE S
Mailing Address - Street 2:UNIT #505
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98118
Mailing Address - Country:US
Mailing Address - Phone:206-274-7410
Mailing Address - Fax:
Practice Address - Street 1:1200 6TH AVE
Practice Address - Street 2:SUITE 2001
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98101-3123
Practice Address - Country:US
Practice Address - Phone:206-498-7239
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-29
Last Update Date:2010-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALF00002600106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist