Provider Demographics
NPI:1326931155
Name:WEAVER, MICAH COURAGE (MA)
Entity type:Individual
Prefix:
First Name:MICAH
Middle Name:COURAGE
Last Name:WEAVER
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1854 AGAPE CT
Mailing Address - Street 2:
Mailing Address - City:EAST EARL
Mailing Address - State:PA
Mailing Address - Zip Code:17519-9576
Mailing Address - Country:US
Mailing Address - Phone:717-475-9385
Mailing Address - Fax:
Practice Address - Street 1:368 W UWCHLAN AVE
Practice Address - Street 2:
Practice Address - City:DOWNINGTOWN
Practice Address - State:PA
Practice Address - Zip Code:19335-3319
Practice Address - Country:US
Practice Address - Phone:610-269-2661
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-30
Last Update Date:2025-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health