Provider Demographics
NPI:1225181340
Name:WESTON-FERRILL, LOUISE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:LOUISE
Middle Name:
Last Name:WESTON-FERRILL
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:LOUISE
Other - Middle Name:M
Other - Last Name:WESTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:4210 MESA DR
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76207-3458
Mailing Address - Country:US
Mailing Address - Phone:940-381-1501
Mailing Address - Fax:940-566-8059
Practice Address - Street 1:4210 MESA DR
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76207-3458
Practice Address - Country:US
Practice Address - Phone:940-381-1501
Practice Address - Fax:940-566-8059
Is Sole Proprietor?:No
Enumeration Date:2007-01-19
Last Update Date:2012-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX133311041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0639312Medicaid
TX0639312Medicaid