Provider Demographics
NPI:1104349075
Name:WEBB, TERESA (LMHC)
Entity type:Individual
Prefix:MRS
First Name:TERESA
Middle Name:
Last Name:WEBB
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:TERESA
Other - Middle Name:
Other - Last Name:TSENG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMHC
Mailing Address - Street 1:508 LUCERNE AVE
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33460-3819
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:508 LUCERNE AVE
Practice Address - Street 2:
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33460-3819
Practice Address - Country:US
Practice Address - Phone:844-406-8956
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-21
Last Update Date:2017-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH14529101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health