Provider Demographics
NPI:1699441113
Name:MICHAEL E WHALEN LMHC
Entity type:Organization
Organization Name:MICHAEL E WHALEN LMHC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:WHALEN
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:727-742-8297
Mailing Address - Street 1:420 4TH ST S UNIT 408
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33701-4627
Mailing Address - Country:US
Mailing Address - Phone:727-742-8297
Mailing Address - Fax:727-873-7860
Practice Address - Street 1:735 ARLINGTON AVE N STE 305
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33701-3606
Practice Address - Country:US
Practice Address - Phone:727-742-8297
Practice Address - Fax:727-873-7860
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-17
Last Update Date:2021-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty