Individual
SUSAN WHITNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RRT, LMHC, NCC
Contact information
Practice address
1970 BROOKSHIRE CIR, WEST MELBOURNE, FL 32904-6674
(321) 312-7359
Mailing address
1970 BROOKSHIRE CIR, WEST MELBOURNE, FL 32904-6674
(321) 312-7359
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH22734
FL
101YP2500X
Professional Counselor
Primary
MH22734
FL
227900000X
Registered Respiratory Therapist
0001343
CO
Other
Enumeration date
11/19/2015
Last updated
03/19/2026
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