Individual
MS. TASHA DA'VETT WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4 SHACKLEFORD PLZ STE 100, LITTLE ROCK, AR 72211-1843
(501) 229-9835
(877) 552-1913
Mailing address
PO BOX 3825, HOT SPRINGS, AR 71914-3825
(501) 229-9835
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
P0907046
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
227025719
—
AR
Enumeration date
10/03/2007
Last updated
12/01/2024
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