Provider Demographics
NPI:1811430176
Name:WEEKS, TONI LYNN (LPC)
Entity type:Individual
Prefix:
First Name:TONI
Middle Name:LYNN
Last Name:WEEKS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4 SENECA AVE
Mailing Address - Street 2:
Mailing Address - City:LAKE HIAWATHA
Mailing Address - State:NJ
Mailing Address - Zip Code:07034-1911
Mailing Address - Country:US
Mailing Address - Phone:973-494-6258
Mailing Address - Fax:973-201-2272
Practice Address - Street 1:330 CHANGEBRIDGE RD STE 101
Practice Address - Street 2:
Practice Address - City:PINE BROOK
Practice Address - State:NJ
Practice Address - Zip Code:07058-9839
Practice Address - Country:US
Practice Address - Phone:973-494-6258
Practice Address - Fax:973-201-2272
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-18
Last Update Date:2024-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00615800101YP2500X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional