Healthcare Provider Details
I. General information
NPI: 1104349075
Provider Name (Legal Business Name): TERESA WEBB PSYD, LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 07/21/2017
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9123 N MILITARY TRL STE 206
PALM BEACH GARDENS FL
33410-5969
US
IV. Provider business mailing address
8227 LAKEVIEW DR
WEST PALM BEACH FL
33412-2431
US
V. Phone/Fax
- Phone: 850-270-8457
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | MH14529 |
| License Number State | FL |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103TC0700X |
| Taxonomy | Clinical Psychologist |
| License Number | PY13132 |
| License Number State | FL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: