Organization
STACI WHITAKER, LPC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACI WHITAKER (OWNER)
(918) 557-5593
Entity
Organization
Contact information
Practice address
1643 SLAUGHTER RD, MADISON, AL 35758-8692
(256) 895-8148
Mailing address
154 MYSTIC ARBOR DR, HARVEST, AL 35749-3208
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/01/2025
Last updated
10/01/2025
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