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Organization

E S WHITAKER & ASSOCIATES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. ELAINE SANDRA WHITAKER LCSW (OWNER)
(757) 838-4144
Entity
Organization

Contact information

Practice address
2101 EXECUTIVE DRIVE, TOWER BOX 7, HAMPTON, VA 23666
(757) 838-4144
(757) 827-8193
Mailing address
2101 EXECUTIVE DRIVE, TOWER BOX 7, HAMPTON, VA 23666
(757) 838-4144
(757) 827-8193

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0904001171
VA
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
0904001171
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
044159
ANTHEM/BCBS
VA
Enumeration date
10/02/2006
Last updated
09/11/2025
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