HENRY KYLE WEAVER (NPI# 1962918250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962918250 |
| Entity Type | Individual |
| Full Name | HENRY KYLE WEAVER |
| Practice Address |
2514 N Broad St Philadelphia PA 19132-4013 |
| Mailing Address |
419 N 67th St Philadelphia PA 19151-4008 |
| Practice Telephone | 2154329689 |
| Mailing Telephone | 2154329689 |
| Enumeration Date | 2017-12-21 |
| Last Update Date | 2017-12-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
2514 N BROAD ST |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19132-4013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790974921 | Angela J Cooper | Counselor | 2514 N Broad St, Philadelphia, PA 19132-4013 | 2007-10-24 |
| 1174132237 | Evelyn Mammen | Counselor | 2514 N Broad St, Philadelphia, PA 19132-4013 | 2020-07-24 |
| 1548879836 | Adam Joseph Rzepka | Social Worker | 2514 N Broad St, Philadelphia, PA 19132-4013 | 2020-07-23 |
| 1487294146 | Michael Howard Lee Jr. | Social Worker | 2514 N Broad St, Philadelphia, PA 19132-4013 | 2020-01-10 |
| 1720628415 | Beata Mariola Buzek | Marriage & Family Therapist | 2514 N Broad St, Philadelphia, PA 19132-4013 | 2020-01-09 |
| 1598321218 | Ruth Degraffenreidt | Counselor | 2514 N Broad St, Philadelphia, PA 19132-4013 | 2019-05-17 |
| 1659833770 | Danielle Croom | Social Worker | 2514 N Broad St, Philadelphia, PA 19132-4013 | 2019-04-06 |
| 1033604335 | Cynthia R Johnson-lewis | Counselor | 2514 N Broad St, Philadelphia, PA 19132-4013 | 2018-06-28 |
| 1194253914 | Anjalea Noble | Counselor | 2514 N Broad St, Adult Outpatient 5a, Philadelphia, PA 19132-4013 | 2017-05-24 |
| 1528504057 | Mackenzie Threadgill | Counselor | 2514 N Broad St, Philadelphia, PA 19132-4013 | 2017-01-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811511017 | Irene Maria Clark | Social Worker | 3101 N. 29th St., Philadelphia, PA 19132 | 2020-06-03 |
| 1518407519 | Forget Me Knot Youth Services | Residential Treatment Facility, Emotionally Disturbed Children | 2321 N Broad Street, Philadelphia, PA 19132 | 2017-02-24 |
| 1609322437 | Shaakira Gillette | Social Worker | 2514 N. Broad St, Philadelphia, PA 19132 | 2016-08-31 |
| 1578017042 | Education Plus, Inc. | Nurse Practitioner | 3217 W. Clearfield Street, Philadelphia, PA 19132 | 2016-08-12 |
| 1972958544 | Rittenhouse Health LLC | Substance Abuse Rehabilitation Facility | 2321 N. Broad St, Philadelphia, PA 19132 | 2016-05-02 |
| 1336593458 | Jamal Vann | Counselor | 2233-43 West Allegheny Avenue, Philadelphia, PA 19132 | 2016-04-14 |
| 1487027132 | Jazzmin Devine | Specialist/Technologist | 200 Prospect St Hemlock 430a, East Stroudsburg University, PA 19132 | 2015-11-03 |
| 1609282508 | Lawrence Petitfrere | Pharmacist | 2801 W Dauphin St, Philadelphia, PA 19132 | 2014-07-11 |
| 1437565157 | Mental Health Partnerships | Community/Behavioral Health | 2709 N. Broad Street, Philadelphia, PA 19132 | 2014-07-02 |
| 1477977346 | Randy Morman | Counselor | 2514 N. Broad Street, 1st Floor, Philadelphia, PA 19132 | 2014-02-12 |
| Find all providers in zip 19132 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992311575 | Jennifer Victoria Hart | Counselor | 1644 W Champlost St, Philadelphia, PA 19141-1819 | 2020-09-19 |
| 1184233892 | Jordyn Occhipinti | Counselor | 429 Daly St, Philadelphia, PA 19148-5702 | 2020-07-28 |
| 1346868783 | Walter J Bullock | Counselor | 1831 Wakeling St, Philadelphia, PA 19124-2855 | 2020-07-13 |
| 1114544475 | Atiya Walida Pope | Counselor | 1027 Wagner Ave, Philadelphia, PA 19141-2927 | 2020-07-01 |
| 1639795560 | Caroline Maccherone | Counselor | 2207 E Norris St, Philadelphia, PA 19125-1905 | 2020-06-16 |
| 1093339988 | Brianna Bliss | Counselor | 836 S Howard St, Philadelphia, PA 19147-3436 | 2020-06-05 |
| 1497376578 | Frank Allen Edwards Jr. | Counselor | 2506 S Broad St, Philadelphia, PA 19145-4639 | 2020-04-30 |
| 1083234538 | David Sparrow Sr. | Counselor | 2929 Arch St Ste 1746, Philadelphia, PA 19104-2857 | 2020-04-24 |
| 1316567654 | Cheryl D Nelson | Counselor | 3300 Henry Ave Ste 302, Philadelphia, PA 19129-1314 | 2020-04-16 |
| 1952938912 | Marjola Como | Counselor | 108 Cliffwood Rd, Philadelphia, PA 19115-2715 | 2020-03-26 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19132 |
Please comment or provide details below to improve the information on HENRY KYLE WEAVER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.