Healthcare Provider Details

I. General information

NPI: 1164698262
Provider Name (Legal Business Name): LORI A WEIMAN LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/08/2008
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22600 HALL RD STE 201
CLINTON TOWNSHIP MI
48036-1173
US

IV. Provider business mailing address

22600 HALL RD STE 201
CLINTON TOWNSHIP MI
48036-1173
US

V. Phone/Fax

Practice location:
  • Phone: 800-693-1916
  • Fax:
Mailing address:
  • Phone: 586-496-4503
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number6401225205
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: