Provider Demographics
NPI:1336343284
Name:WEBB-FEREBEE, KELLY (PHD,LPCS RPTS, NCC)
Entity Type:Individual
Prefix:DR
First Name:KELLY
Middle Name:
Last Name:WEBB-FEREBEE
Suffix:
Gender:F
Credentials:PHD,LPCS RPTS, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:598 S DENTON TAP RD
Mailing Address - Street 2:SUITE 106
Mailing Address - City:COPPELL
Mailing Address - State:TX
Mailing Address - Zip Code:75019-4004
Mailing Address - Country:US
Mailing Address - Phone:972-471-6000
Mailing Address - Fax:972-393-0221
Practice Address - Street 1:598 S DENTON TAP RD
Practice Address - Street 2:SUITE 106
Practice Address - City:COPPELL
Practice Address - State:TX
Practice Address - Zip Code:75019-4004
Practice Address - Country:US
Practice Address - Phone:972-471-6000
Practice Address - Fax:972-393-0221
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13826101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional