Provider Demographics
NPI:1437020195
Name:WEINER, WHITNEY A (MA, LLPC, LLMFT)
Entity type:Individual
Prefix:
First Name:WHITNEY
Middle Name:A
Last Name:WEINER
Suffix:
Gender:F
Credentials:MA, LLPC, LLMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5708 VENTURE CT STE B
Mailing Address - Street 2:
Mailing Address - City:KALAMAZOO
Mailing Address - State:MI
Mailing Address - Zip Code:49009-2858
Mailing Address - Country:US
Mailing Address - Phone:269-459-1818
Mailing Address - Fax:269-365-9951
Practice Address - Street 1:5708 VENTURE CT STE B
Practice Address - Street 2:
Practice Address - City:KALAMAZOO
Practice Address - State:MI
Practice Address - Zip Code:49009-2858
Practice Address - Country:US
Practice Address - Phone:269-459-1818
Practice Address - Fax:269-365-9951
Is Sole Proprietor?:No
Enumeration Date:2025-09-16
Last Update Date:2025-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4151001194106H00000X
MI6451024580101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist