Healthcare Provider Details

I. General information

NPI: 1851210298
Provider Name (Legal Business Name): AMY LYNN WEAVER LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2026
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 W SOUTH BOUNDARY ST BLDG 7B
PERRYSBURG OH
43551-5244
US

IV. Provider business mailing address

4216 PARTRIDGE LN
TOLEDO OH
43623-3229
US

V. Phone/Fax

Practice location:
  • Phone: 419-724-4233
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberC.2608285
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: