Provider Demographics
NPI:1417577297
Name:WEEMS, BENITA SHENE (LMHCA)
Entity Type:Individual
Prefix:MRS
First Name:BENITA
Middle Name:SHENE
Last Name:WEEMS
Suffix:
Gender:F
Credentials:LMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11708 SE 233RD PL
Mailing Address - Street 2:
Mailing Address - City:KENT
Mailing Address - State:WA
Mailing Address - Zip Code:98031-3764
Mailing Address - Country:US
Mailing Address - Phone:407-616-9027
Mailing Address - Fax:
Practice Address - Street 1:33710 9TH AVE S STE 15
Practice Address - Street 2:
Practice Address - City:FEDERAL WAY
Practice Address - State:WA
Practice Address - Zip Code:98003-6734
Practice Address - Country:US
Practice Address - Phone:407-616-9027
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-21
Last Update Date:2024-02-15
Deactivation Date:2024-02-08
Deactivation Code:
Reactivation Date:2024-02-15
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health