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PAULEETTA LYNN WHITTAKER MS, LMHCA
NPI 1710433354
Counselor - Mental Health in Bunnell, FL

Active since September 01, 2016
4721 E MOODY BLVD STE 204, BUNNELL, FL 32110(386) 793-9669(386) 256-1761 Get Directions Write a Review

NPPES record last updated: December 7, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 7, 2019, Oct 21, 2019, Sep 1, 2016 (3 updates tracked since 2016).

About Pauleetta Lynn Whittaker Ms, Lmhca NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PAULEETTA LYNN WHITTAKER MS, LMHCA (NPI 1710433354) is an individual mental health provider in Bunnell, Florida, licensed in Florida (MH17090) and active in the NPI registry since September 2016. She maintains a secondary practice location in St Augustine.

NPPES Registry Identity

NPI1710433354
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NamePAULEETTA LYNN WHITTAKERCredential: MS, LMHCA
Location Address4721 E MOODY BLVD STE 204Bunnell, FL 32110-7706
Mailing Address208 8th St Unit ASt Augustine Beach, FL 32080-6351 · (317) 443-5928 · Fax (386) 256-1761
Phone(386) 793-9669
Fax(386) 256-1761
Sole ProprietorYes
Enumeration DateSeptember 1, 2016
Last NPPES UpdateDecember 7, 20193 updates tracked since enumeration
✔ NPI 1710433354 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in FL · MH17090
4721 E MOODY BLVD STE 204, Bunnell, FL 32110
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Secondary Practice Location 1

Location 1200 San Sebastian Vw # 2102St Augustine, FL 32084-8695 · Phone (317) 443-5928

Other Identifiers 1

Medicaid201359450IN

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENNIFER HIERS LMHC
Counselor (Mental Health)
4721 E MOODY BLVD STE 204
BUNNELL, FL 32110
Flagler County (386) 793-9669
REACH COUNSELING & WELLNESS LLC
Community/Behavioral Health
4721 E MOODY BLVD STE 204
BUNNELL, FL 32110
Flagler County (386) 793-9669
AMANDA VICTORIA PEREZ LMHC
Counselor (Mental Health)
4721 E MOODY BLVD STE 204
BUNNELL, FL 32110
Flagler County (386) 237-8837
AMANDA PEREZ COUNSELING, LLC
Counselor (Mental Health)
4721 E MOODY BLVD STE 204
BUNNELL, FL 32110
Flagler County (386) 237-8837

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pauleetta Whittaker's NPI number?

The NPI number for Pauleetta Whittaker is 1710433354. It was assigned to this individual provider in the NPPES registry on September 1, 2016.

Where is Pauleetta Whittaker located?

Pauleetta Whittaker practices at 4721 E Moody Blvd Ste 204, Bunnell, FL 32110. The listed phone number is (386) 793-9669.

What is Pauleetta Whittaker's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Pauleetta Whittaker was last updated on December 7, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.