Provider Demographics
NPI:1033476411
Name:DAVIS, WHITNEY L (LPC)
Entity type:Individual
Prefix:
First Name:WHITNEY
Middle Name:L
Last Name:DAVIS
Suffix:
Gender:
Credentials:LPC
Other - Prefix:
Other - First Name:WHITNEY
Other - Middle Name:L
Other - Last Name:NOLAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BHRS
Mailing Address - Street 1:4209 NW 23RD ST
Mailing Address - Street 2:100
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73107-2645
Mailing Address - Country:US
Mailing Address - Phone:405-917-1709
Mailing Address - Fax:405-917-1713
Practice Address - Street 1:4209 NW 23RD ST
Practice Address - Street 2:100
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73107-2645
Practice Address - Country:US
Practice Address - Phone:405-917-1709
Practice Address - Fax:405-917-1713
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-23
Last Update Date:2025-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
TX89874101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health