| Mary Henderson Whittaker, Pllc | |
|
6135 Park South Dr Charlotte NC 28210-3272 | |
| (980) 497-6337 | |
| Not Available |
| Full Name | Mary Henderson Whittaker, Pllc |
|---|---|
| Speciality | Counselor |
| Location | 6135 Park South Dr, Charlotte, North Carolina |
| Authorized Official Name and Position | Mary Whittaker (MANAGER) |
| Authorized Official Contact | 7049078404 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Henderson Whittaker, Pllc 2019 Cassamia Pl Charlotte NC 28211-1626 Ph: (704) 907-8404 | Mary Henderson Whittaker, Pllc 6135 Park South Dr Charlotte NC 28210-3272 Ph: (980) 497-6337 |
| NPI Number | 1447196456 |
|---|---|
| Provider Enumeration Date | 04/24/2026 |
| Last Update Date | 04/24/2026 |
| Certification Date | 04/24/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447196456 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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