Provider Demographics
NPI:1063627826
Name:BABBITT, THOMAS C II (LCPC-C)
Entity type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:C
Last Name:BABBITT
Suffix:II
Gender:M
Credentials:LCPC-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 PLEASANT ST
Mailing Address - Street 2:
Mailing Address - City:TOPSHAM
Mailing Address - State:ME
Mailing Address - Zip Code:04086-1410
Mailing Address - Country:US
Mailing Address - Phone:207-725-4771
Mailing Address - Fax:
Practice Address - Street 1:10 PLEASANT ST
Practice Address - Street 2:
Practice Address - City:TOPSHAM
Practice Address - State:ME
Practice Address - Zip Code:04086-1410
Practice Address - Country:US
Practice Address - Phone:207-725-4771
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEXL2997101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
MEXL2997OtherLCPC-C LICENSE #