MISTY WEAVER (NPI# 1295049294) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295049294 |
| Entity Type | Individual |
| Full Name | MISTY WEAVER |
| Credential | LPC, CMHT |
| Practice Address |
301 S Cass St Corinth MS 38834-6109 |
| Mailing Address |
Po Box 839 301 Cass St Corinth MS 38835-0839 |
| Practice Telephone | 6622869860 |
| Practice Fax Number | 6622868095 |
| Mailing Telephone | 6622869860 |
| Mailing Fax Number | 6622868095 |
| Enumeration Date | 2010-08-02 |
| Last Update Date | 2016-08-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
2368 | MS | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
2113 | MS | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568729382 | Misty Lynn Weaver | Registered Nurse | 311 Maple Ave, Stonewood, WV 26301-4840 | 2012-04-18 |
| Street Address |
301 S CASS ST |
| City | CORINTH |
| State | MS |
| Zip Code | 38834-6109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336609072 | Amanda Elizabeth Trimble | Case Manager/Care Coordinator | 301 S Cass St, Corinth, MS 38834-6109 | 2019-03-20 |
| 1013315845 | Region Iv Outpatient Mental Health | Community/Behavioral Health | 301 S Cass St, Corinth, MS 38834-6109 | 2014-12-10 |
| 1669718680 | Adrian Barclay Owen | Counselor | 301 S Cass St, Corinth, MS 38834-6109 | 2012-12-19 |
| 1568722718 | Phillip D Barry | Counselor | 301 S Cass St, Corinth, MS 38834-6109 | 2012-05-22 |
| 1164795977 | Jared Hight | Counselor | 301 S Cass St, Corinth, MS 38834-6109 | 2012-02-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477176824 | Crystalcare | Clinic/Center | 3124 N Shiloh Road, Corinth, MS 38834 | 2020-05-20 |
| 1962046680 | Wanda Lee Kilpatrick | Technician | 1206 Breckenridge St., Corinth, MS 38834 | 2019-11-06 |
| 1215595756 | Alanna Nunez Heflin | Dentist | 3127 E Shiloh Rd, Corinth, MS 38834 | 2019-05-30 |
| 1629530795 | A Port In The Storm (apits) | Clinic/Center | 102 N. Cass Street, Suite B, Corinth, MS 38834 | 2019-04-05 |
| 1538654199 | Jerry Wayne Latch | Durable Medical Equipment & Medical Supplies | 206 N Fillmore St, Corinth, MS 38834 | 2018-06-26 |
| 1194215681 | Brooks Medical Clinic | Clinic/Center | 2113 South Tate Street, Corinth, MS 38834 | 2018-05-10 |
| 1164938650 | Pediatric Dentistry of Corinth | Dentist | 1500 N Harper Rd #5, Pediatric Dentistry of Corinth, Corinth, MS 38834 | 2017-12-19 |
| 1467964536 | King Speech-language Therapy, LLC | Speech-Language Pathologist | 2203 Hwy 72 East, Corinth, MS 38834 | 2017-10-30 |
| 1841669728 | Glenda Gatlin | Social Worker | 14 Cr 305, Corinth, MS 38834 | 2015-09-21 |
| 1649646555 | Amanda Word | Social Worker | 303 North Madison Street, Corinth, MS 38834 | 2015-08-14 |
| Find all providers in zip 38834 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831751890 | Tracy O. Gardner | Counselor | 401 E Waldron St Ste B, Corinth, MS 38834-4707 | 2019-06-30 |
| 1467914135 | Stephanie Leigh Eaton | Counselor | 198 County Road 305, Corinth, MS 38834-8846 | 2019-04-02 |
| 1558805556 | Laura Lanier | Counselor | 1430 Robinson Rd, #430, Corinth, TX 76210-3154 | 2016-12-09 |
| 1255791463 | Renee Susann Pfeffer | Counselor | 1430 Robinson Rd # 430, Corinth, TX 76210-3154 | 2016-03-01 |
| 1710307509 | Christy Graham, Lpc & Associates LLC | Counselor | 1402 N Corinth St Ste 116, Corinth, TX 76208-5445 | 2014-04-21 |
| 1164729679 | Cheryl Crosley Culberson | Counselor | 3105 Brookview Dr, Corinth, TX 76210-2707 | 2011-02-17 |
| 1609108208 | Holly Forester | Counselor | 2213 Knoll Ridge Dr, Corinth, TX 76210-1903 | 2010-02-06 |
| 1831268085 | Abbe L Leal | Counselor | 2600 Vistaview Dr, Corinth, TX 76210-2753 | 2006-11-06 |
| 1912541749 | Amanda R Barton | Counselor | 1410 Robinson Rd Ste 400, Corinth, TX 76210-2848 | 2019-11-05 |
| 1023662756 | Crossroads Counseling and Play Center, LLC | Counselor | 401 E Waldron St Ste B, Corinth, MS 38834-4707 | 2019-07-31 |
| Find all providers in CORINTH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.