Provider Demographics
NPI:1962118950
Name:EDENS SCHNEEBERGER, WHITNEY LAYNE (LPC)
Entity type:Individual
Prefix:MRS
First Name:WHITNEY
Middle Name:LAYNE
Last Name:EDENS SCHNEEBERGER
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:PAYNE COUNTY CIMMARON CLINIC
Mailing Address - Street 2:1624 CIMMARON PLAZA
Mailing Address - City:STILLWATER
Mailing Address - State:OK
Mailing Address - Zip Code:74075
Mailing Address - Country:US
Mailing Address - Phone:405-372-2202
Mailing Address - Fax:
Practice Address - Street 1:PAYNE COUNTY CIMMARON CLINIC
Practice Address - Street 2:1624 CIMMARON PLAZA
Practice Address - City:STILLWATER
Practice Address - State:OK
Practice Address - Zip Code:74075
Practice Address - Country:US
Practice Address - Phone:405-372-2202
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-24
Last Update Date:2023-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health