Healthcare Provider Details

I. General information

NPI: 1780532721
Provider Name (Legal Business Name): KINDRED PEDIATRIC & FAMILY THERAPY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/17/2026
Last Update Date: 03/17/2026
Certification Date: 03/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3204 NASH ST N STE B
WILSON NC
27896-3002
US

IV. Provider business mailing address

3204 NASH ST N STE B
WILSON NC
27896-3002
US

V. Phone/Fax

Practice location:
  • Phone: 252-216-4248
  • Fax:
Mailing address:
  • Phone: 252-216-4248
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: HANNAH WEBB
Title or Position: THERAPIST/PRACTICE OWNER
Credential: LCSW
Phone: 252-216-4248