Provider Demographics
NPI:1225827934
Name:KONG, WEILIANG
Entity type:Individual
Prefix:
First Name:WEILIANG
Middle Name:
Last Name:KONG
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:230 N 23RD ST APT 326
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19103-1276
Mailing Address - Country:US
Mailing Address - Phone:445-246-6382
Mailing Address - Fax:
Practice Address - Street 1:230 N 23RD ST APT 326
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19103-1276
Practice Address - Country:US
Practice Address - Phone:445-246-6382
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-01
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37AC00811600101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health