Provider Demographics
NPI:1043658107
Name:WEBB, IESHIA G (LPC)
Entity type:Individual
Prefix:
First Name:IESHIA
Middle Name:G
Last Name:WEBB
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:IESHIA
Other - Middle Name:G
Other - Last Name:WEBB-RUSSELL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPC
Mailing Address - Street 1:10334 PANTHER POINT DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77099-5606
Mailing Address - Country:US
Mailing Address - Phone:832-814-4335
Mailing Address - Fax:
Practice Address - Street 1:10334 PANTHER POINT DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77099-5606
Practice Address - Country:US
Practice Address - Phone:832-814-4335
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-11
Last Update Date:2013-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX66829101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional