Provider Demographics
NPI:1942548763
Name:STABILE, WHITNEY ASHLYN RUSSELL (LPC-S)
Entity type:Individual
Prefix:
First Name:WHITNEY
Middle Name:ASHLYN RUSSELL
Last Name:STABILE
Suffix:
Gender:F
Credentials:LPC-S
Other - Prefix:
Other - First Name:WHITNEY
Other - Middle Name:ASHLYN
Other - Last Name:RUSSELL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC-S
Mailing Address - Street 1:2400 LAKESIDE BLVD STE 620
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75082-4341
Mailing Address - Country:US
Mailing Address - Phone:972-658-9499
Mailing Address - Fax:
Practice Address - Street 1:2400 LAKESIDE BLVD STE 620
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75082-4341
Practice Address - Country:US
Practice Address - Phone:972-658-9499
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-01-29
Last Update Date:2024-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX65929101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health