Provider Demographics
NPI:1295129252
Name:WEBB, MICHELLE (MA, LMFT, ATR)
Entity type:Individual
Prefix:
First Name:MICHELLE
Middle Name:
Last Name:WEBB
Suffix:
Gender:F
Credentials:MA, LMFT, ATR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22231 MULHOLLAND HWY STE 210
Mailing Address - Street 2:
Mailing Address - City:CALABASAS
Mailing Address - State:CA
Mailing Address - Zip Code:91302-5155
Mailing Address - Country:US
Mailing Address - Phone:818-651-3008
Mailing Address - Fax:818-224-3550
Practice Address - Street 1:22231 MULHOLLAND HWY STE 210
Practice Address - Street 2:
Practice Address - City:CALABASAS
Practice Address - State:CA
Practice Address - Zip Code:91302-5155
Practice Address - Country:US
Practice Address - Phone:818-651-3008
Practice Address - Fax:818-224-3550
Is Sole Proprietor?:No
Enumeration Date:2015-03-26
Last Update Date:2015-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA86960106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist