Provider Demographics
NPI:1649297607
Name:WENIG, CELMA SILVA (BCD)
Entity type:Individual
Prefix:MRS
First Name:CELMA
Middle Name:SILVA
Last Name:WENIG
Suffix:
Gender:F
Credentials:BCD
Other - Prefix:MS
Other - First Name:CELMA
Other - Middle Name:SILVA
Other - Last Name:BITTENCOURTH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:106 VINEYARD AVE
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND
Mailing Address - State:NY
Mailing Address - Zip Code:12528-1422
Mailing Address - Country:US
Mailing Address - Phone:845-691-9191
Mailing Address - Fax:845-691-9339
Practice Address - Street 1:106 VINEYARD AVE
Practice Address - Street 2:
Practice Address - City:HIGHLAND
Practice Address - State:NY
Practice Address - Zip Code:12528-1422
Practice Address - Country:US
Practice Address - Phone:845-691-9191
Practice Address - Fax:845-691-9339
Is Sole Proprietor?:No
Enumeration Date:2006-07-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)