Provider Demographics
NPI:1528796109
Name:WEBB, WILLIAM DOUGLAS II (MA, LPC-MHSPA, CADC)
Entity type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:DOUGLAS
Last Name:WEBB
Suffix:II
Gender:M
Credentials:MA, LPC-MHSPA, CADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 962
Mailing Address - Street 2:
Mailing Address - City:JAMESTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:38556-0962
Mailing Address - Country:US
Mailing Address - Phone:931-752-7590
Mailing Address - Fax:
Practice Address - Street 1:326 WHITE OAK STREET
Practice Address - Street 2:
Practice Address - City:JAMESTOWN
Practice Address - State:TN
Practice Address - Zip Code:38556
Practice Address - Country:US
Practice Address - Phone:931-752-7075
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-11
Last Update Date:2024-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YA0400X
TN7011101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)