Provider Demographics
NPI:1275755175
Name:WEBB, NICOLE L (PHD, LPC, NCC)
Entity Type:Individual
Prefix:DR
First Name:NICOLE
Middle Name:L
Last Name:WEBB
Suffix:
Gender:F
Credentials:PHD, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12026 CHRISTOPHER'S WALK COURT
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77089-2151
Mailing Address - Country:US
Mailing Address - Phone:281-481-4266
Mailing Address - Fax:
Practice Address - Street 1:12026 CHRISTOPHER'S WALK COURT
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77089-2151
Practice Address - Country:US
Practice Address - Phone:281-481-4266
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-02
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX20153101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional