NPI Code Details Logo

NPI 1730999830

NPI 1730999830 : CHASE WEATHERBEE : POWELL, OH

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1730999830
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    CHASE WEATHERBEE
-----------------------------------------------------
    Gender               |    Male 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    01/10/2025
-----------------------------------------------------
    Last Update Date     |    01/10/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    1480 MANNING PKWY STE B 
-----------------------------------------------------
    City                 |    POWELL
-----------------------------------------------------
    State                |    OH
-----------------------------------------------------
    Zip                  |    43065-7298
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    614-888-9200
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    8182 NEWARK AVE 
-----------------------------------------------------
    City                 |    WESTERVILLE
-----------------------------------------------------
    State                |    OH
-----------------------------------------------------
    Zip                  |    43081-5542
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    101YM0800X
-----------------------------------------------------
    Taxonomy Name        |    Mental Health Counselor
-----------------------------------------------------
    License Number       |    C.2406324-TRNE
-----------------------------------------------------
    License Number State |    OH
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.