Provider Demographics
NPI:1073873725
Name:N. KATHERINE WEBB, INC.
Entity Type:Organization
Organization Name:N. KATHERINE WEBB, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:N.
Authorized Official - Middle Name:KATHERINE
Authorized Official - Last Name:WEBB
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:912-261-1882
Mailing Address - Street 1:PO BOX 3240
Mailing Address - Street 2:
Mailing Address - City:BRUNSWICK
Mailing Address - State:GA
Mailing Address - Zip Code:31521-3240
Mailing Address - Country:US
Mailing Address - Phone:912-261-1882
Mailing Address - Fax:912-264-2365
Practice Address - Street 1:502 1/2 GLOUCESTER STREET
Practice Address - Street 2:SUITE #3
Practice Address - City:BRUNSWICK
Practice Address - State:GA
Practice Address - Zip Code:31520-7021
Practice Address - Country:US
Practice Address - Phone:912-261-1882
Practice Address - Fax:912-264-2365
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-29
Last Update Date:2012-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0005651041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty