Provider Demographics
NPI:1679964233
Name:WESTBROOK, TABITHA K (LMFT, LCMHC, LPC)
Entity type:Individual
Prefix:
First Name:TABITHA
Middle Name:K
Last Name:WESTBROOK
Suffix:
Gender:F
Credentials:LMFT, LCMHC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:851 DURHAM RD STE B
Mailing Address - Street 2:
Mailing Address - City:WAKE FOREST
Mailing Address - State:NC
Mailing Address - Zip Code:27587-3301
Mailing Address - Country:US
Mailing Address - Phone:919-891-0525
Mailing Address - Fax:
Practice Address - Street 1:2201 SPINKS RD STE 101
Practice Address - Street 2:
Practice Address - City:FLOWER MOUND
Practice Address - State:TX
Practice Address - Zip Code:75022-4451
Practice Address - Country:US
Practice Address - Phone:919-891-0525
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-02-17
Last Update Date:2025-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX86670101YM0800X
SDLPC20617101YM0800X
NC1920106H00000X
TX204242106H00000X
NC11403101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist