Provider Demographics
NPI:1114654837
Name:WEBB, ELIZABETH KATE (LCMHCA)
Entity Type:Individual
Prefix:MISS
First Name:ELIZABETH
Middle Name:KATE
Last Name:WEBB
Suffix:
Gender:F
Credentials:LCMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2386 ROBIN RD
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:NC
Mailing Address - Zip Code:28144-4567
Mailing Address - Country:US
Mailing Address - Phone:704-638-9020
Mailing Address - Fax:
Practice Address - Street 1:2386 ROBIN RD
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:NC
Practice Address - Zip Code:28144-4567
Practice Address - Country:US
Practice Address - Phone:704-638-9020
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-03
Last Update Date:2022-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA17830101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health