Healthcare Provider Details

I. General information

NPI: 1952594566
Provider Name (Legal Business Name): GARY WEBB LMHC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/27/2007
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7684 SW 94TH CIR
OCALA FL
34481-0519
US

IV. Provider business mailing address

7684 SW 94TH CIR
OCALA FL
34481-0519
US

V. Phone/Fax

Practice location:
  • Phone: 360-640-4105
  • Fax:
Mailing address:
  • Phone: 360-640-4105
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLH60520458
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberRC00050126
License Number StateWA
# 3
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberRC00050126
License Number State
# 4
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLH60520458
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: