Healthcare Provider Details

I. General information

NPI: 1053857086
Provider Name (Legal Business Name): LATOYIA C. WEBB MS, LPC, SAC-IT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/14/2017
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4130 W MARTIN DR APT 103
MILWAUKEE WI
53208-2750
US

IV. Provider business mailing address

4130 W MARTIN DR APT 103
MILWAUKEE WI
53208-2750
US

V. Phone/Fax

Practice location:
  • Phone: 414-702-7373
  • Fax:
Mailing address:
  • Phone: 414-702-7373
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number8252-125
License Number StateWI
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberTPMC4485
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number18160-130
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: