Provider Demographics
NPI:1588075170
Name:BROWN, WHITNEY (LPC)
Entity type:Individual
Prefix:
First Name:WHITNEY
Middle Name:
Last Name:BROWN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1052 GARDNER RD STE 700
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29407-5702
Mailing Address - Country:US
Mailing Address - Phone:843-647-8990
Mailing Address - Fax:843-962-5720
Practice Address - Street 1:1052 GARDNER RD STE 700
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29407-5702
Practice Address - Country:US
Practice Address - Phone:843-647-8990
Practice Address - Fax:843-962-5720
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-16
Last Update Date:2020-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCLPC-6299101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC1760596480Medicaid