Provider Demographics
NPI:1366785487
Name:WESTBROOK, CAROLE LYNNE (LPC)
Entity type:Individual
Prefix:MRS
First Name:CAROLE
Middle Name:LYNNE
Last Name:WESTBROOK
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1010 PEARL JOHNSON RD SE
Mailing Address - Street 2:
Mailing Address - City:RANGER
Mailing Address - State:GA
Mailing Address - Zip Code:30734-9720
Mailing Address - Country:US
Mailing Address - Phone:770-891-7956
Mailing Address - Fax:
Practice Address - Street 1:5205 STILESBORO RD NW STE 225
Practice Address - Street 2:
Practice Address - City:KENNESAW
Practice Address - State:GA
Practice Address - Zip Code:30152-7748
Practice Address - Country:US
Practice Address - Phone:800-910-5060
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-27
Last Update Date:2025-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC003151101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional