Provider Demographics
NPI:1265047237
Name:WEATHERSPOON, TORI
Entity type:Individual
Prefix:
First Name:TORI
Middle Name:
Last Name:WEATHERSPOON
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:TIMBER HILLS MENTAL HEALTH SERVICES
Mailing Address - Street 2:2441 A CO RD 501
Mailing Address - City:RIPLEY
Mailing Address - State:MS
Mailing Address - Zip Code:38663
Mailing Address - Country:US
Mailing Address - Phone:662-837-8154
Mailing Address - Fax:
Practice Address - Street 1:TIMBER HILLS MENTAL HEALTH SERVICES
Practice Address - Street 2:2441- A CO RD 501
Practice Address - City:RIPLEY
Practice Address - State:MS
Practice Address - Zip Code:38663
Practice Address - Country:US
Practice Address - Phone:662-837-8154
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-15
Last Update Date:2020-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health