National Provider Identifier

Jessica R.W. Weaver, LMHC

Jessica R.W. Weaver, LMHC is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Williamsville, NY and a listed phone number of (716) 777-1083.

NPI 1982268348Williamsville, NYMental Health Counselor

Profile Overview

NPI
1982268348
Provider Type
Individual
Primary Specialty
Mental Health Counselor
Enumeration Date
April 30, 2019
Last Updated
September 30, 2024

Practice Location

  • 5350 Main St Ste 10
  • Williamsville, NY 14221-5338

Phone: (716) 777-1083

Mailing Address

  • 230 Huxley Dr
  • Amherst, NY 14226-4817

Specialties

  • Mental Health Counselor (101YM0800X)
  • Addiction (Substance Use Disorder) Counselor (101YA0400X)
Full Record
NPI
1982268348
Entity Type
Individual
Last Name
Weaver
First Name
Jessica
Middle Name
R.W.
Credential
LMHC
Mailing Street Address
230 Huxley Dr
Mailing City
Amherst
Mailing State
NY
Mailing ZIP Code
14226-4817
Mailing Country
US
Mailing Phone
(716) 982-7244
Practice Street Address
5350 Main St Ste 10
Practice City
Williamsville
Practice State
NY
Practice ZIP Code
14221-5338
Practice Country
US
Practice Phone
(716) 777-1083
Practice Fax
(716) 204-8387
Enumeration Date
April 30, 2019
Last Updated
September 30, 2024
Sex
Female
Sole Proprietor
No
Certification Date
September 30, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Mental Health Counselor (101YM0800X), Addiction (Substance Use Disorder) Counselor (101YA0400X)