Provider Demographics
NPI:1013329853
Name:WEIL, WENDY WEINBERG (E1600081S LPCC-S)
Entity Type:Individual
Prefix:MRS
First Name:WENDY
Middle Name:WEINBERG
Last Name:WEIL
Suffix:
Gender:F
Credentials:E1600081S LPCC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2566 WELLINGTON RD
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44118-4135
Mailing Address - Country:US
Mailing Address - Phone:216-410-2235
Mailing Address - Fax:
Practice Address - Street 1:516 WASHINGTON ST STE E
Practice Address - Street 2:
Practice Address - City:CHAGRIN FALLS
Practice Address - State:OH
Practice Address - Zip Code:44022-4402
Practice Address - Country:US
Practice Address - Phone:440-591-4366
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-28
Last Update Date:2020-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1200465101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health