Healthcare Provider Details

I. General information

NPI: 1821752056
Provider Name (Legal Business Name): MALINDA LEE WEBB M.S., LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/25/2021
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3708 W WACO DR
WACO TX
76710-5381
US

IV. Provider business mailing address

503 S AVENUE O
CLIFTON TX
76634-1952
US

V. Phone/Fax

Practice location:
  • Phone: 254-203-7004
  • Fax:
Mailing address:
  • Phone: 254-203-7004
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number83561
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: