Timothy L Weaver, L.M.H.C.
Counselor, Mental Health in Riverview, FL. Individual provider (NPI-1).
NPI number1891020004
StatusActive
Last updated in NPPESJan 16, 2014
Details
- NPI
- 1891020004
- Entity type
- Individual (NPI-1)
- Name
- Mr. Timothy L Weaver
- Credential
- L.M.H.C.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 5, 2009
- Last updated
- Jan 16, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | MH 9939 | FL | Yes |
Practice location
11736 Newberry Grove LoopRiverview, FL 33579-3902
Phone 908-415-0632
Mailing address
11736 Newberry Grove LoopRiverview, FL 33579-3902
Phone 908-415-0632
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