Individual provider · Type 1 NPI

Shantell Whitaker, EDS, LMHC, LMT

Mental Health Counselor · Jacksonville, FL

NPI number 1043973738 Active

Practice location

8624 Ribbon Falls Ln
Jacksonville, FL 32244

Call (904) 658-0466 Map

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Mental Health Counselor 101YM0800XNone listed
School Counselor 101YS0200XNone listed
Massage Therapist 225700000X103332 (FL)
Mental Health Counselor Primary 101YM0800X25426 (FL)

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About NPI 1043973738

Shantell Whitaker, EDS, LMHC, LMT's National Provider Identifier is 1043973738, issued on Oct 19, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Jacksonville, FL. The record was last updated on Apr 16, 2025.