Provider Demographics
NPI:1619595451
Name:WEINBERG, MOLLY (LMHC, NCC, RDT)
Entity type:Individual
Prefix:
First Name:MOLLY
Middle Name:
Last Name:WEINBERG
Suffix:
Gender:F
Credentials:LMHC, NCC, RDT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 550044
Mailing Address - Street 2:
Mailing Address - City:NORTH WALTHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02455-0044
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:94 PLEASANT ST STE 108
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:MA
Practice Address - Zip Code:02476-6532
Practice Address - Country:US
Practice Address - Phone:508-475-9437
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-08
Last Update Date:2024-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health