Provider Demographics
NPI:1699513077
Name:WEIMAN, KRYSTLE GRACE (MS, LPC ASSOCIATE)
Entity type:Individual
Prefix:
First Name:KRYSTLE
Middle Name:GRACE
Last Name:WEIMAN
Suffix:
Gender:F
Credentials:MS, LPC ASSOCIATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2218 GREENHOUSE RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77084-7951
Mailing Address - Country:US
Mailing Address - Phone:832-484-9486
Mailing Address - Fax:
Practice Address - Street 1:11999 KATY FWY STE 625
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77079-1626
Practice Address - Country:US
Practice Address - Phone:346-800-7601
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-18
Last Update Date:2024-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX95260101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional