Provider Demographics
NPI:1467801969
Name:JOY WEAKS, LCPC
Entity Type:Organization
Organization Name:JOY WEAKS, LCPC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED CLINICAL PROF. COUNSELOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JOY
Authorized Official - Middle Name:LORRAINE
Authorized Official - Last Name:WEAKS
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LCPC
Authorized Official - Phone:406-544-5517
Mailing Address - Street 1:307 1ST AVE E
Mailing Address - Street 2:SUITE 11
Mailing Address - City:KALISPELL
Mailing Address - State:MT
Mailing Address - Zip Code:59901-4978
Mailing Address - Country:US
Mailing Address - Phone:406-544-5517
Mailing Address - Fax:
Practice Address - Street 1:307 1ST AVE E
Practice Address - Street 2:SUITE 11
Practice Address - City:KALISPELL
Practice Address - State:MT
Practice Address - Zip Code:59901-4978
Practice Address - Country:US
Practice Address - Phone:406-544-5517
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-07
Last Update Date:2016-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTBBH-LCPC-LIC-7654101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty