MEDICARE: TABITHA K WESTBROOK LMFT, LCMHC, LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	86670	TX
2	101YM0800X	Mental Health Counselor	LPC20617	SD
3	106H00000X	Marriage & Family Therapist	1920	NC
4	106H00000X	Marriage & Family Therapist	204242	TX
5	101YM0800X	Mental Health Counselor	11403	NC

General Provider Information

NPI Number	:	1679964233
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TABITHA K WESTBROOK LMFT, LCMHC, LPC

Provider Business Mailing Address
First Line	:	851 DURHAM RD STE B
Second Line	:
City	:	WAKE FOREST
State	:	NC
Zip	:	27587-3301
Country	:	US
Telephone Number	:	919-891-0525
Fax Number	:

Provider Business Practice Location Address
First Line	:	2201 SPINKS RD STE 101
Second Line	:
City	:	FLOWER MOUND
State	:	TX
Zip	:	75022-4451
Country	:	US
Telephone Number	:	919-891-0525
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/17/2015
Last Update Date	:	05/21/2025

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