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Shantell Whitaker, EDS, LMHC, LMT

NPI 1043973738 · on the registry since 2021 · sole proprietor

Practice

Address
8624 Ribbon Falls Ln
Jacksonville, FL 32244
Phone
(904) 658-0466
Organisation at this address
Whitaker Wellness Spa, Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Also registered as
101Y00000X
101YM0800X
101YS0200X
225700000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-04-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida