Provider Demographics
NPI:1902136815
Name:WHITTAKER, RICHELLE I (LPC)
Entity Type:Individual
Prefix:MRS
First Name:RICHELLE
Middle Name:
Last Name:WHITTAKER
Suffix:I
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 1:11313 WINDY DAWN DR
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-8216
Mailing Address - Country:US
Mailing Address - Phone:713-436-3532
Mailing Address - Fax:
Practice Address - Street 1:4660 BEECHNUT ST STE 220
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77096-1817
Practice Address - Country:US
Practice Address - Phone:832-767-0760
Practice Address - Fax:832-553-7274
Is Sole Proprietor?:No
Enumeration Date:2009-12-28
Last Update Date:2019-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX64015101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional