Doctor Name: | MS. CAROLE K WEBB |
NPI Number: | 1144397175 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMFT, LPC (MHSP |
License Number: | 809 |
Business Practice Address: | 6001 Jackson Square Blvd Suite 200 La Vergne, TN - 370862767 |
Business Phone Number: | 6157934201 |
Business Fax Number: | 6157934208 |
Mailing Address: | Po Box 1234, ANTIOCH |
State: | TN |
Postal Code: | 370111234 |
Phone Number: | 6157934201 |
Fax Number: | 6157934208 |
NPI Enumeration Date: | 11/28/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 809 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | TN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |