1306816269 NPI number — MR. RICHARD J BABIN LCSW

Table of content: MR. RICHARD J BABIN LCSW (NPI 1306816269)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1306816269 NPI number — MR. RICHARD J BABIN LCSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BABIN
Provider First Name:
RICHARD
Provider Middle Name:
J
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
LCSW
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1306816269
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/09/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
101 FEU FOLLET RD STE 100
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LAFAYETTE
Provider Business Mailing Address State Name:
LA
Provider Business Mailing Address Postal Code:
70508-4234
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
713-686-9194
Provider Business Mailing Address Fax Number:
713-686-9413

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6518 BAKER BLVD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
RICHLAND HILLS
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
76118-6292
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
713-686-9194
Provider Business Practice Location Address Fax Number:
713-686-9413
Provider Enumeration Date:
01/24/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  16486 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 101230411 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: P00378342 . This is a "RR MEDICARE" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 87692Q . This is a "BCBS" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 101230403 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 101230407 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".




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