Provider Demographics
NPI:1386138469
Name:THE WHYTE CORPORATION
Entity type:Organization
Organization Name:THE WHYTE CORPORATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:B
Authorized Official - Last Name:WHYTE
Authorized Official - Suffix:
Authorized Official - Credentials:NCMHC
Authorized Official - Phone:678-612-4948
Mailing Address - Street 1:11687 FLEMMING CT
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:GA
Mailing Address - Zip Code:30228-3455
Mailing Address - Country:US
Mailing Address - Phone:678-612-4948
Mailing Address - Fax:
Practice Address - Street 1:9150 ESTATE THOMAS STE 105
Practice Address - Street 2:
Practice Address - City:ST THOMAS
Practice Address - State:VI
Practice Address - Zip Code:00802-2612
Practice Address - Country:US
Practice Address - Phone:678-612-4948
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-21
Last Update Date:2018-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty