Eric Andrew White, QMHP, CAC-AD, CSAC

Individual provider Active NPI Counselor · Chincoteague Island, VA

NPI 1093631442 · NPPES record last updated Jul 1, 2026

Key facts

NPI
1093631442
Entity type
Individual (NPI type 1)
Primary specialty
Counselor 101Y00000X
Practice address
3546 Willow St
Chincoteague Island, VA 23336-1851
Phone
(757) 990-0140
NPI assigned
Jun 29, 2026
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Yes

Addresses

Primary practice location

3546 Willow St
Chincoteague Island, VA 23336-1851

Mailing address

3546 Willow St
Chincoteague Island, VA 23336-1851

Other providers in Chincoteague Island, VA

All providers in Chincoteague Island, VA · Counselor in Virginia

Sources for this page

Verify at the official NPI Registry.