Provider Demographics
NPI:1902564511
Name:WEEKS, MONIQUE RENEE (LMSW)
Entity Type:Individual
Prefix:
First Name:MONIQUE
Middle Name:RENEE
Last Name:WEEKS
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:327 W BRAME AVE
Mailing Address - Street 2:
Mailing Address - City:WEST POINT
Mailing Address - State:MS
Mailing Address - Zip Code:39773-3501
Mailing Address - Country:US
Mailing Address - Phone:662-275-0684
Mailing Address - Fax:
Practice Address - Street 1:327 W BRAME AVE
Practice Address - Street 2:
Practice Address - City:WEST POINT
Practice Address - State:MS
Practice Address - Zip Code:39773-3501
Practice Address - Country:US
Practice Address - Phone:662-275-0684
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-30
Last Update Date:2021-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker