| Staci Whitaker, Lpc, Llc | |
|
1643 Slaughter Rd Madison AL 35758-8692 | |
| (256) 895-8148 | |
| Not Available |
| Full Name | Staci Whitaker, Lpc, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1643 Slaughter Rd, Madison, Alabama |
| Authorized Official Name and Position | Staci Whitaker (OWNER) |
| Authorized Official Contact | 9185575593 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Staci Whitaker, Lpc, Llc 154 Mystic Arbor Dr Harvest AL 35749-3208 Ph: () - | Staci Whitaker, Lpc, Llc 1643 Slaughter Rd Madison AL 35758-8692 Ph: (256) 895-8148 |
| NPI Number | 1477427540 |
|---|---|
| Provider Enumeration Date | 10/01/2025 |
| Last Update Date | 10/01/2025 |
| Certification Date | 10/01/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477427540 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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