Healthcare Provider Details

I. General information

NPI: 1528869369
Provider Name (Legal Business Name): WHITNEY WEBSTER LMFT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/19/2025
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

555 N MAIN ST # 1096
PROVIDENCE RI
02904-5722
US

IV. Provider business mailing address

594 N BENSON RD
FAIRFIELD CT
06824-5134
US

V. Phone/Fax

Practice location:
  • Phone: 401-400-0776
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: MS. WHITNEY WEBSTER
Title or Position: OWNER
Credential: MS
Phone: 401-400-0776