Provider Demographics
NPI:1851152367
Name:WEEMES, HEATHER CAROLINE
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:CAROLINE
Last Name:WEEMES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3156 BANDANA DR
Mailing Address - Street 2:
Mailing Address - City:CELINA
Mailing Address - State:TX
Mailing Address - Zip Code:75009-0050
Mailing Address - Country:US
Mailing Address - Phone:972-740-6987
Mailing Address - Fax:
Practice Address - Street 1:102 N LOUISIANA DR STE 205
Practice Address - Street 2:
Practice Address - City:CELINA
Practice Address - State:TX
Practice Address - Zip Code:75009-6577
Practice Address - Country:US
Practice Address - Phone:972-740-6987
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-22
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1052001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical