Provider Demographics
NPI:1417443573
Name:WEED, SYDNEY CATHERINE (LPC, LCDC)
Entity type:Individual
Prefix:
First Name:SYDNEY
Middle Name:CATHERINE
Last Name:WEED
Suffix:
Gender:F
Credentials:LPC, LCDC
Other - Prefix:
Other - First Name:SYDNEY
Other - Middle Name:CATHERINE
Other - Last Name:ELLIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCDC
Mailing Address - Street 1:PO BOX 561194
Mailing Address - Street 2:
Mailing Address - City:THE COLONY
Mailing Address - State:TX
Mailing Address - Zip Code:75056-6194
Mailing Address - Country:US
Mailing Address - Phone:469-936-4926
Mailing Address - Fax:
Practice Address - Street 1:5900 BALCONES DR STE 100
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78731-4298
Practice Address - Country:US
Practice Address - Phone:469-936-4926
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-02
Last Update Date:2024-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14454101YA0400X
TX81902101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX32287OtherLICENSE NUMBER