Provider Demographics
NPI:1891681136
Name:WEATHERVANE COUNSELING SERVICES LLC
Entity type:Organization
Organization Name:WEATHERVANE COUNSELING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:LINDSAY
Authorized Official - Middle Name:
Authorized Official - Last Name:STAUFFER
Authorized Official - Suffix:
Authorized Official - Credentials:MA LPC
Authorized Official - Phone:269-689-7870
Mailing Address - Street 1:31056 TIMBER RUN TRL
Mailing Address - Street 2:
Mailing Address - City:COLON
Mailing Address - State:MI
Mailing Address - Zip Code:49040-9272
Mailing Address - Country:US
Mailing Address - Phone:269-689-7870
Mailing Address - Fax:
Practice Address - Street 1:31056 TIMBER RUN TRL
Practice Address - Street 2:
Practice Address - City:COLON
Practice Address - State:MI
Practice Address - Zip Code:49040-9272
Practice Address - Country:US
Practice Address - Phone:269-689-7870
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-14
Last Update Date:2025-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty