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General NPI Number Information
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NPI Number | 1952922809
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Entity Type | Individual
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Provider Name | JAMES WEAKLEY LPC/MHSP
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Gender | Male
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Dates
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Enumeration Date | 05/01/2020
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Last Update Date | 11/13/2024
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Provider Practice Location Address
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Address Line | 335 CARL WHITTEN RD
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City | HORNSBY
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State | TN
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Zip | 38044-2039
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Country | US
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Telephone | 731-434-9224
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Fax |
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Provider Business Mailing Address
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Address Line | 335 CARL WHITTEN RD
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City | HORNSBY
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State | TN
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Zip | 38044-2039
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Country | US
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Telephone | 731-434-9224
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 5070
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License Number State | TN
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