Provider Demographics
NPI:1770022378
Name:WILLIAMS, WHITNEY RENEE (LMHC)
Entity type:Individual
Prefix:MRS
First Name:WHITNEY
Middle Name:RENEE
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:MS
Other - First Name:WHITNEY
Other - Middle Name:RENEE
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:422 WHISPERING CREEK AVE
Mailing Address - Street 2:
Mailing Address - City:FREEPORT
Mailing Address - State:FL
Mailing Address - Zip Code:32439-3129
Mailing Address - Country:US
Mailing Address - Phone:352-615-0879
Mailing Address - Fax:
Practice Address - Street 1:4476 LEGENDARY DR STE 203
Practice Address - Street 2:
Practice Address - City:DESTIN
Practice Address - State:FL
Practice Address - Zip Code:32541-5347
Practice Address - Country:US
Practice Address - Phone:352-615-0879
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-02-15
Last Update Date:2024-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X
FLMH24221101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor