Lavina Miller Weaver, P.C.C.
Individual provider Active NPI Professional Counselor · Dundee, OH
NPI 1225216385 · NPPES record last updated Jan 31, 2008
Key facts
- NPI
- 1225216385
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- E0003909 (OH)
- Practice address
- 10470 Winesburg Rd
Dundee, OH 44624-9442 - Phone
- (330) 359-6100
- Fax
- (330) 319-7381
- NPI assigned
- Jan 31, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E0003909 | OH | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Springhaven, Inc | Professional | Past |
Accepting new patients |
| Ohio Physician Professional Corporation | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | E0003909 | OH | Yes |
Addresses
Primary practice location
10470 Winesburg Rd
Dundee, OH 44624-9442
Mailing address
PO Box 265
10470 Winesburg Road
Mount Eaton, OH 44659-0265
Phone (330) 359-6100
Other providers in Dundee, OH
- Courtney Marie Mundy
- Louisa Pirozzi-Erb
- Stacy Linn Robertson
- Springhaven, Inc
- Wayne Township Trustees Tuscarawas County
- Dawn Wenger
- Ariel Young
All providers in Dundee, OH · Professional Counselor in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 31, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.