Weaver, Laura Suzanne

Weaver, Laura Suzanne is an individual health care provider with primary practice located at 110 S 12Th St , Waco TX 76701-1810. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Weaver, Laura Suzanne can be contacted via phone (254) 752-3451.

Contact Information

Primary practice address
110 S 12Th St Waco TX 76701-1810
Phone: (254) 752-3451
Fax: (254) 756-3133
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 14728 Texas

Profile Details

NPI number 1821578709
LBN Legal business name Weaver, Laura Suzanne
Credentials LCDC-I
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2018
Last updated Apr 7th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers