Provider Demographics
NPI:1619438595
Name:WEEMS-SINGLETON, FAYE DORIS (LMFT)
Entity Type:Individual
Prefix:DR
First Name:FAYE
Middle Name:DORIS
Last Name:WEEMS-SINGLETON
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:DR
Other - First Name:FAYE
Other - Middle Name:DORIS
Other - Last Name:HERRING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMFT
Mailing Address - Street 1:3000 LANGFORD RD / BUILDING 300
Mailing Address - Street 2:
Mailing Address - City:NORCROSS
Mailing Address - State:GA
Mailing Address - Zip Code:30071-4772
Mailing Address - Country:US
Mailing Address - Phone:850-999-0940
Mailing Address - Fax:
Practice Address - Street 1:3000 LANGFORD RD / BUILDING 300
Practice Address - Street 2:
Practice Address - City:NORCROSS
Practice Address - State:GA
Practice Address - Zip Code:30071-4772
Practice Address - Country:US
Practice Address - Phone:850-999-0940
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-25
Last Update Date:2019-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAMFT001587106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist