Provider Demographics
NPI:1194547638
Name:WEBSTER, LANI ANNETTE (LPC)
Entity type:Individual
Prefix:
First Name:LANI
Middle Name:ANNETTE
Last Name:WEBSTER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:LANI
Other - Middle Name:ANNETTE
Other - Last Name:STEWARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3131 EXECUTIVE DR
Mailing Address - Street 2:
Mailing Address - City:SAN ANGELO
Mailing Address - State:TX
Mailing Address - Zip Code:76904-6801
Mailing Address - Country:US
Mailing Address - Phone:325-704-8524
Mailing Address - Fax:325-947-5021
Practice Address - Street 1:3131 EXECUTIVE DR
Practice Address - Street 2:
Practice Address - City:SAN ANGELO
Practice Address - State:TX
Practice Address - Zip Code:76904-6801
Practice Address - Country:US
Practice Address - Phone:325-704-8524
Practice Address - Fax:325-947-5021
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-28
Last Update Date:2024-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX89725101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health