Provider Demographics
NPI:1063140168
Name:KELLIE BARBAY, LCSW, LLC
Entity type:Organization
Organization Name:KELLIE BARBAY, LCSW, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED CLINICAL SOCIAL WORKER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KELLIE
Authorized Official - Middle Name:RABALAIS
Authorized Official - Last Name:BARBAY
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:504-327-7054
Mailing Address - Street 1:7531 CALVIN UNDERWOOD LN
Mailing Address - Street 2:
Mailing Address - City:DENHAM SPRINGS
Mailing Address - State:LA
Mailing Address - Zip Code:70706-0513
Mailing Address - Country:US
Mailing Address - Phone:504-327-7054
Mailing Address - Fax:
Practice Address - Street 1:133 ASPEN SQ STE B
Practice Address - Street 2:
Practice Address - City:DENHAM SPRINGS
Practice Address - State:LA
Practice Address - Zip Code:70726-5322
Practice Address - Country:US
Practice Address - Phone:504-327-7054
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-08
Last Update Date:2022-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty