Provider Demographics
NPI:1982325239
Name:WEEKLY, NATALIA (LPCA)
Entity Type:Individual
Prefix:
First Name:NATALIA
Middle Name:
Last Name:WEEKLY
Suffix:
Gender:F
Credentials:LPCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 W 9TH ST UNIT 2
Mailing Address - Street 2:
Mailing Address - City:NEWPORT
Mailing Address - State:KY
Mailing Address - Zip Code:41071-1314
Mailing Address - Country:US
Mailing Address - Phone:502-309-4325
Mailing Address - Fax:
Practice Address - Street 1:401 W 9TH ST UNIT 2
Practice Address - Street 2:
Practice Address - City:NEWPORT
Practice Address - State:KY
Practice Address - Zip Code:41071-1314
Practice Address - Country:US
Practice Address - Phone:502-309-4325
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-06
Last Update Date:2022-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY268640101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional