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Individual

MS. LISA MCKINNEY WEEAMS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC, CRC, LPN, CCM

Contact information

Practice address
7495 HIGHWAY 195, SOMERVILLE, TN 38068-6229
(901) 459-1949
Mailing address
7495 HIGHWAY 195, SOMERVILLE, TN 38068-6229
(901) 459-1949

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
108.017298
IL
101YP2500X
Professional Counselor
178.021286
IL
164W00000X
Licensed Practical Nurse
040409
TN
164X00000X
Licensed Vocational Nurse
335398
TX
171M00000X
Case Manager/Care Coordinator
4230652
NJ
225C00000X
Rehabilitation Counselor
183488
IL

Other

Enumeration date
08/02/2022
Last updated
07/20/2025
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