Provider Demographics
NPI:1679169221
Name:WEISAL, BILLIE
Entity type:Individual
Prefix:
First Name:BILLIE
Middle Name:
Last Name:WEISAL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 WALNUT ST
Mailing Address - Street 2:
Mailing Address - City:MARTINS FERRY
Mailing Address - State:OH
Mailing Address - Zip Code:43935-1429
Mailing Address - Country:US
Mailing Address - Phone:740-633-2161
Mailing Address - Fax:740-633-1681
Practice Address - Street 1:301 WALNUT ST
Practice Address - Street 2:
Practice Address - City:MARTINS FERRY
Practice Address - State:OH
Practice Address - Zip Code:43935-1429
Practice Address - Country:US
Practice Address - Phone:740-633-2161
Practice Address - Fax:740-633-1681
Is Sole Proprietor?:No
Enumeration Date:2020-12-17
Last Update Date:2022-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No101Y00000XBehavioral Health & Social Service ProvidersCounselor