Provider Demographics
NPI:1396380762
Name:WEEMS, DEANA (LPC, NCC)
Entity Type:Individual
Prefix:
First Name:DEANA
Middle Name:
Last Name:WEEMS
Suffix:
Gender:F
Credentials:LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17220 DAWN CT
Mailing Address - Street 2:
Mailing Address - City:AMELIA COURT HOUSE
Mailing Address - State:VA
Mailing Address - Zip Code:23002-4891
Mailing Address - Country:US
Mailing Address - Phone:601-433-9323
Mailing Address - Fax:
Practice Address - Street 1:17220 DAWN CT
Practice Address - Street 2:
Practice Address - City:AMELIA COURT HOUSE
Practice Address - State:VA
Practice Address - Zip Code:23002-4891
Practice Address - Country:US
Practice Address - Phone:601-433-9323
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-08
Last Update Date:2023-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS2357101YM0800X
VA0701008984101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health