Provider Demographics
NPI:1245857069
Name:OPEN BOOK MENTAL HEALTH COUNSELING PLLC
Entity type:Organization
Organization Name:OPEN BOOK MENTAL HEALTH COUNSELING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PYSCHOTHERAPIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:WEIDENBORNER
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:206-395-4131
Mailing Address - Street 1:1900 EMPIRE BLVD
Mailing Address - Street 2:#129
Mailing Address - City:WEBSTER
Mailing Address - State:NY
Mailing Address - Zip Code:14580
Mailing Address - Country:US
Mailing Address - Phone:206-395-4131
Mailing Address - Fax:
Practice Address - Street 1:1900 EMPIRE BLVD
Practice Address - Street 2:#667
Practice Address - City:WEBSTER
Practice Address - State:NY
Practice Address - Zip Code:14580
Practice Address - Country:US
Practice Address - Phone:646-450-0602
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-27
Last Update Date:2022-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty