Healthcare Provider Details

I. General information

NPI: 1942649926
Provider Name (Legal Business Name): K WEBB COUNSELING SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/23/2013
Last Update Date: 06/23/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3160 W EAGLE LN
BRIGHTON MO
65617-8119
US

IV. Provider business mailing address

PO BOX 605
BRIGHTON MO
65617-0605
US

V. Phone/Fax

Practice location:
  • Phone: 417-689-1447
  • Fax: 417-501-4246
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number2005024467
License Number StateMO

VIII. Authorized Official

Name: KRISTI WEBB
Title or Position: OWNER
Credential: LPC
Phone: 417-689-1447