Provider Demographics
NPI:1427623354
Name:WHITTINGTON, SHADINEA N
Entity type:Individual
Prefix:MRS
First Name:SHADINEA
Middle Name:N
Last Name:WHITTINGTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28416 LONGFELLOW LN
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:LA
Mailing Address - Zip Code:70711-4238
Mailing Address - Country:US
Mailing Address - Phone:122-553-2724
Mailing Address - Fax:
Practice Address - Street 1:28416 LONGFELLOW LN
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:LA
Practice Address - Zip Code:70711-4238
Practice Address - Country:US
Practice Address - Phone:122-553-2724
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-24
Last Update Date:2025-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAPLC10527101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor