Provider Demographics
NPI:1619011384
Name:VAN WEY, ERIN CHRISTINE (MA, PCC, NCC)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:CHRISTINE
Last Name:VAN WEY
Suffix:
Gender:F
Credentials:MA, PCC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5130 STATE ROUTE 183 NE
Mailing Address - Street 2:
Mailing Address - City:MAGNOLIA
Mailing Address - State:OH
Mailing Address - Zip Code:44643-8324
Mailing Address - Country:US
Mailing Address - Phone:330-866-9371
Mailing Address - Fax:330-866-1003
Practice Address - Street 1:5130 STATE ROUTE 183 NE
Practice Address - Street 2:
Practice Address - City:MAGNOLIA
Practice Address - State:OH
Practice Address - Zip Code:44643-8324
Practice Address - Country:US
Practice Address - Phone:330-866-9371
Practice Address - Fax:330-866-1003
Is Sole Proprietor?:No
Enumeration Date:2007-02-16
Last Update Date:2009-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOH3051155101YS0200X
OHE.0500237101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health