Provider Demographics
NPI:1588769566
Name:BABINEAUX, ANNE ELIZABETH
Entity type:Individual
Prefix:MS
First Name:ANNE
Middle Name:ELIZABETH
Last Name:BABINEAUX
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:221 RUE DEJEAN
Mailing Address - Street 2:SUITE 112
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70508
Mailing Address - Country:US
Mailing Address - Phone:337-233-8911
Mailing Address - Fax:337-233-6558
Practice Address - Street 1:221 RUE DEJEAN
Practice Address - Street 2:SUITE 112
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70508
Practice Address - Country:US
Practice Address - Phone:337-233-8911
Practice Address - Fax:337-233-6558
Is Sole Proprietor?:No
Enumeration Date:2006-09-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LALA LPC 1112101YP2500X
LALMFT 464106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist