Organization Name: | PAUL WEISEMANN PROFESSIONAL CHRISTIAN COUNSELING LLC |
NPI Number: | 1003095779 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PAUL M WEISEMANN (DIRECTOR/THERAPIST) |
Mailing Address: | 138 E Bloomingdale Ave Brandon |
State: | FL US |
Postal Code: | 335118101 |
Phone Number: | 8136432600 |
Fax Number: | 8136432600 |
NPI Enumeration Date: | 10/30/2007 |
NPI Last Update Date: | 05/24/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |