Provider Demographics
NPI:1609446053
Name:AMOS-SIKORA, WHITNEY (LPC-IT)
Entity type:Individual
Prefix:
First Name:WHITNEY
Middle Name:
Last Name:AMOS-SIKORA
Suffix:
Gender:F
Credentials:LPC-IT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3609 N 80TH ST
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53222-2919
Mailing Address - Country:US
Mailing Address - Phone:262-599-1134
Mailing Address - Fax:
Practice Address - Street 1:12420 W HAMPTON AVE
Practice Address - Street 2:
Practice Address - City:BUTLER
Practice Address - State:WI
Practice Address - Zip Code:53007-5000
Practice Address - Country:US
Practice Address - Phone:262-235-3700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-28
Last Update Date:2021-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
4901-226101YM0800X
WI4901-226101YP2500X, 101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional