Healthcare Provider Details

I. General information

NPI: 1548640733
Provider Name (Legal Business Name): JENNIFER WEERHEIM LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/03/2015
Last Update Date: 08/21/2024
Certification Date: 08/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

636 N FRENCH RD STE 8
AMHERST NY
14228-1900
US

IV. Provider business mailing address

636 N FRENCH RD STE 8
AMHERST NY
14228-1900
US

V. Phone/Fax

Practice location:
  • Phone: 716-336-1412
  • Fax:
Mailing address:
  • Phone: 716-336-1412
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number008437
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number843701
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: