Provider Demographics
NPI:1659431997
Name:WEBB, ROSEMARY T (LMHC)
Entity Type:Individual
Prefix:DR
First Name:ROSEMARY
Middle Name:T
Last Name:WEBB
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:311 W 3RD ST
Mailing Address - Street 2:
Mailing Address - City:FROSTPROOF
Mailing Address - State:FL
Mailing Address - Zip Code:33843-2202
Mailing Address - Country:US
Mailing Address - Phone:863-449-0550
Mailing Address - Fax:863-546-6157
Practice Address - Street 1:343 W CENTRAL AVE STE 105-3
Practice Address - Street 2:
Practice Address - City:LAKE WALES
Practice Address - State:FL
Practice Address - Zip Code:33853-4059
Practice Address - Country:US
Practice Address - Phone:863-978-8092
Practice Address - Fax:863-546-6157
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-09
Last Update Date:2020-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL8196101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL202693418OtherTAX #