Provider Demographics
NPI:1396106944
Name:WEBB, STEVEN (LMFT)
Entity type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:
Last Name:WEBB
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6542 REGENCY LN
Mailing Address - Street 2:SUITE 202
Mailing Address - City:EDEN PRAIRIE
Mailing Address - State:MN
Mailing Address - Zip Code:55344-7847
Mailing Address - Country:US
Mailing Address - Phone:952-225-1575
Mailing Address - Fax:612-808-0365
Practice Address - Street 1:6542 REGENCY LN
Practice Address - Street 2:SUITE 202
Practice Address - City:EDEN PRAIRIE
Practice Address - State:MN
Practice Address - Zip Code:55344-7847
Practice Address - Country:US
Practice Address - Phone:952-225-1575
Practice Address - Fax:612-808-0365
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-10
Last Update Date:2016-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2702106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist