Provider Demographics
NPI:1427325158
Name:WHATLEY, DEBRA ELAINE (LPC, LMFT)
Entity type:Individual
Prefix:
First Name:DEBRA
Middle Name:ELAINE
Last Name:WHATLEY
Suffix:
Gender:F
Credentials:LPC, LMFT
Other - Prefix:
Other - First Name:DEBBIE
Other - Middle Name:
Other - Last Name:WHATLEY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC, LMFT
Mailing Address - Street 1:188 BUSBY ROAD
Mailing Address - Street 2:
Mailing Address - City:HAUGHTON
Mailing Address - State:LA
Mailing Address - Zip Code:71037
Mailing Address - Country:US
Mailing Address - Phone:318-469-9664
Mailing Address - Fax:318-377-3137
Practice Address - Street 1:2008 AIRLINE DRIVE, STE 300 #101
Practice Address - Street 2:
Practice Address - City:BOSSIER CITY
Practice Address - State:LA
Practice Address - Zip Code:71111
Practice Address - Country:US
Practice Address - Phone:318-469-9664
Practice Address - Fax:318-377-3137
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-23
Last Update Date:2022-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA910106H00000X
LA2515101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist