Provider Demographics
NPI:1104537059
Name:WEIGLE, MAYE STEVENS CALHOUN (MED, LCMHCA)
Entity type:Individual
Prefix:
First Name:MAYE STEVENS
Middle Name:CALHOUN
Last Name:WEIGLE
Suffix:
Gender:F
Credentials:MED, LCMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6406 CARMEL RD STE 308
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28226-8267
Mailing Address - Country:US
Mailing Address - Phone:704-916-9317
Mailing Address - Fax:
Practice Address - Street 1:6406 CARMEL RD STE 308
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28226-8267
Practice Address - Country:US
Practice Address - Phone:704-916-9317
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-12
Last Update Date:2022-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor