| Doctor Name: | MS. LAUREL N. WEAVER |
| NPI Number: | 1033495239 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSW , LISW-S |
| License Number: | I 0800020 SUPV |
| Business Practice Address: | 105 Vine St Bluffton, OH - 458171251 |
| Business Phone Number: | 4192968591 |
| Business Fax Number: | 4193580273 |
| Mailing Address: | 145 N. Spring Street, BLUFFTON |
| State: | OH |
| Postal Code: | 45817 |
| Phone Number: | 4193580826 |
| Fax Number: | |
| NPI Enumeration Date: | 11/01/2011 |
| NPI Last Update Date: | 07/31/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | I 0800020 SUPV |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |