Provider Demographics
NPI:1144397175
Name:WEBB, CAROLE K (LMFT)
Entity Type:Individual
Prefix:MS
First Name:CAROLE
Middle Name:K
Last Name:WEBB
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:312 W MAIN ST APT 1
Mailing Address - Street 2:
Mailing Address - City:JONESBOROUGH
Mailing Address - State:TN
Mailing Address - Zip Code:37659-1144
Mailing Address - Country:US
Mailing Address - Phone:423-793-3144
Mailing Address - Fax:
Practice Address - Street 1:312 W MAIN ST APT 1
Practice Address - Street 2:
Practice Address - City:JONESBOROUGH
Practice Address - State:TN
Practice Address - Zip Code:37659-1144
Practice Address - Country:US
Practice Address - Phone:423-793-3144
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-28
Last Update Date:2021-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN233106H00000X, 106H00000X
TN809101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health