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NPI Code Detail

MEDICARE: PAUL SEBASTIAN WEAVER MFT

MEDICARE: PAUL SEBASTIAN WEAVER MFT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family TherapistM.1600009OH
2106H00000XMarriage & Family TherapistMFT.LF.61631782WA
3106H00000XMarriage & Family TherapistT2823OR
4106H00000XMarriage & Family TherapistMT3669FL

General Provider Information

NPI Number : 1619338704
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAUL SEBASTIAN WEAVER MFT
Provider Business Mailing Address
First Line : 8824 LIVE OAK AVE
Second Line :
City : OCEAN SPRINGS
State : MS
Zip : 39564-8570
Country : US
Telephone Number : 228-765-1193
Fax Number :
Provider Business Practice Location Address
First Line : 8824 LIVE OAK AVE
Second Line :
City : OCEAN SPRINGS
State : MS
Zip : 39564-8570
Country : US
Telephone Number : 228-765-1193
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/16/2016
Last Update Date : 04/14/2026

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Directions to “ PAUL SEBASTIAN WEAVER MFT” Practice Location

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