Provider Demographics
NPI:1669023487
Name:WEYRAUCH, MICHELE FRANCES (LPCC)
Entity Type:Individual
Prefix:
First Name:MICHELE
Middle Name:FRANCES
Last Name:WEYRAUCH
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:MICHELE
Other - Middle Name:FRANCES
Other - Last Name:DEMARCO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5204 MAHONING AVE
Mailing Address - Street 2:
Mailing Address - City:YOUNGSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44515-1808
Mailing Address - Country:US
Mailing Address - Phone:330-797-0036
Mailing Address - Fax:
Practice Address - Street 1:259 1/2 E HOWARD ST
Practice Address - Street 2:
Practice Address - City:GIRARD
Practice Address - State:OH
Practice Address - Zip Code:44420-2926
Practice Address - Country:US
Practice Address - Phone:304-280-7009
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-23
Last Update Date:2019-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE.0002172101YM0800X
101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health