Provider Demographics
NPI:1225487093
Name:BARBARA G. BABSON
Entity Type:Organization
Organization Name:BARBARA G. BABSON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LSW
Authorized Official - Prefix:
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:GRACE
Authorized Official - Last Name:BABSON
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:801-557-6199
Mailing Address - Street 1:370 E SOUTH TEMPLE STE 550
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84111-1237
Mailing Address - Country:US
Mailing Address - Phone:801-557-6199
Mailing Address - Fax:801-355-9322
Practice Address - Street 1:370 E SOUTH TEMPLE STE 550
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84111-1237
Practice Address - Country:US
Practice Address - Phone:801-557-6199
Practice Address - Fax:801-355-9322
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-12
Last Update Date:2016-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT1317983501101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty