Provider Demographics
NPI:1265846620
Name:WEBB, TRAVIS (LPC)
Entity Type:Individual
Prefix:MR
First Name:TRAVIS
Middle Name:
Last Name:WEBB
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5500 W PINNACLE POINTE DR STE 204
Mailing Address - Street 2:
Mailing Address - City:ROGERS
Mailing Address - State:AR
Mailing Address - Zip Code:72758-8153
Mailing Address - Country:US
Mailing Address - Phone:479-310-0233
Mailing Address - Fax:
Practice Address - Street 1:5500 W PINNACLE POINTE DR STE 204
Practice Address - Street 2:
Practice Address - City:ROGERS
Practice Address - State:AR
Practice Address - Zip Code:72758-8153
Practice Address - Country:US
Practice Address - Phone:479-310-0233
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-13
Last Update Date:2023-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARP2002018101YP2500X, 101YP2500X
101YM0800X
ARA1903041101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health