Healthcare Provider Details

I. General information

NPI: 1669395000
Provider Name (Legal Business Name): PAULLA WEEKES LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2900 E 29TH ST
BRYAN TX
77802-2622
US

IV. Provider business mailing address

1610 W 5TH ST
CALDWELL TX
77836-1379
US

V. Phone/Fax

Practice location:
  • Phone: 979-436-9165
  • Fax:
Mailing address:
  • Phone: 631-332-5364
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number116313
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: