Individual
MR. TONY WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC- MHSP
Contact information
Practice address
3712 MIDDLEBROOK PIKE, KNOXVILLE, TN 37921-6503
(865) 444-2333
Mailing address
200 TECH CENTER DR, KNOXVILLE, TN 37912-2747
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4841
TN
101YP2500X
Professional Counselor
4841
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q056346
—
TN
Enumeration date
07/13/2016
Last updated
04/24/2024
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