Healthcare Provider Details

I. General information

NPI: 1356253405
Provider Name (Legal Business Name): REBECCA WEBSTER LCMHCA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/22/2026
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2232 PAGE RD STE 204
DURHAM NC
27703-7724
US

IV. Provider business mailing address

2232 PAGE RD STE 204
DURHAM NC
27703-7724
US

V. Phone/Fax

Practice location:
  • Phone: 919-589-4523
  • Fax:
Mailing address:
  • Phone: 919-589-4523
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberA23494
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: