Doctor Name: | DR. LELA WEEMS |
NPI Number: | 1184878985 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 860 |
Business Practice Address: | 6859 Kiln Delisle Rd # 1 Pass Christian, MS - 395719257 |
Business Phone Number: | 2282551827 |
Business Fax Number: | 2282551847 |
Mailing Address: | 6859 Kiln Delisle Rd # 1, PASS CHRISTIAN |
State: | MS |
Postal Code: | 395719257 |
Phone Number: | 2282551827 |
Fax Number: | 2282551847 |
NPI Enumeration Date: | 11/06/2008 |
NPI Last Update Date: | 11/06/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 860 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |