Provider Demographics
NPI:1760261622
Name:WEBB, DELEISHA L (LCSW)
Entity Type:Individual
Prefix:
First Name:DELEISHA
Middle Name:L
Last Name:WEBB
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6126 BENNETTSVILLE LN APT 202
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28262-5380
Mailing Address - Country:US
Mailing Address - Phone:859-533-0396
Mailing Address - Fax:
Practice Address - Street 1:6126 BENNETTSVILLE LN APT 202
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28262-5380
Practice Address - Country:US
Practice Address - Phone:859-533-0396
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-28
Last Update Date:2023-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC016182101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health