Provider Demographics
NPI:1972912004
Name:WEIHS, PHYLLIS (LPC)
Entity Type:Individual
Prefix:
First Name:PHYLLIS
Middle Name:
Last Name:WEIHS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:76 RELIHAN RD
Mailing Address - Street 2:
Mailing Address - City:DARIEN
Mailing Address - State:CT
Mailing Address - Zip Code:06820-5240
Mailing Address - Country:US
Mailing Address - Phone:203-858-9550
Mailing Address - Fax:
Practice Address - Street 1:76 RELIHAN RD
Practice Address - Street 2:
Practice Address - City:DARIEN
Practice Address - State:CT
Practice Address - Zip Code:06820-5240
Practice Address - Country:US
Practice Address - Phone:203-858-9550
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-02
Last Update Date:2014-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT002535101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health