Provider Demographics
NPI:1467147785
Name:WEBBER, DAVID RANIER (LPC)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:RANIER
Last Name:WEBBER
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 1:3324 PEACHTREE RD NE UNIT 1818
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30326-1479
Mailing Address - Country:US
Mailing Address - Phone:404-919-4777
Mailing Address - Fax:
Practice Address - Street 1:3324 PEACHTREE RD NE UNIT 1818
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30326-1479
Practice Address - Country:US
Practice Address - Phone:404-919-4777
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-11
Last Update Date:2023-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401223181101YP2500X
GA012037101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional