Concordiajo Whitaker
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Citra, FL
NPI 1336739416 · NPPES record last updated Jun 1, 2023
Key facts
- NPI
- 1336739416
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- Practice address
- 15681 N US Highway 301
Citra, FL 32113-3154 - Phone
- (352) 595-5000
- NPI assigned
- Jan 22, 2021
- Sex
- Female
- Sole proprietor
- No
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Yes |
Addresses
Primary practice location
15681 N US Highway 301
Citra, FL 32113-3154
Mailing address
216 NE 1St Ave
Ocala, FL 34470-6654
Phone (352) 732-6565
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cwhitaker@phoenixfl.org | Direct |
Other providers in Citra, FL
- Terry L Tokash
- Savannah Tucker
- Nicole Velez Perrone
- Ingrid Vincent
- Jared Wannenwetsch
- Ivan White
- Michele Correne White
- Winners Pharmacy Inc.
All providers in Citra, FL · Addiction (Substance Use Disorder) Counselor in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 1, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.