Provider Demographics
NPI:1639326614
Name:WEAVER & ASSOCIATES COUNSELING SERVICES INC
Entity Type:Organization
Organization Name:WEAVER & ASSOCIATES COUNSELING SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:SHERMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:WEAVER
Authorized Official - Suffix:
Authorized Official - Credentials:MSW LCSW ACSW
Authorized Official - Phone:314-867-4000
Mailing Address - Street 1:1221 JENNINGS STATION RD
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63137-1215
Mailing Address - Country:US
Mailing Address - Phone:314-867-4000
Mailing Address - Fax:314-867-4900
Practice Address - Street 1:1221 JENNINGS STATION ROAD
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63137-1215
Practice Address - Country:US
Practice Address - Phone:314-867-4000
Practice Address - Fax:314-867-4900
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:WEAVER & ASSOCIATES COUNSELING SERVICES INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-08-21
Last Update Date:2008-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO000200251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health