Provider Demographics
NPI:1275920605
Name:HUMBLE BEGINNINGS COUNSELING AGENCY, LLC
Entity Type:Organization
Organization Name:HUMBLE BEGINNINGS COUNSELING AGENCY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:JACKSON
Authorized Official - Last Name:MURPHY
Authorized Official - Suffix:
Authorized Official - Credentials:MAT
Authorized Official - Phone:318-514-9029
Mailing Address - Street 1:1770 WASHINGTON ST STE 2
Mailing Address - Street 2:
Mailing Address - City:ARCADIA
Mailing Address - State:LA
Mailing Address - Zip Code:71001-4301
Mailing Address - Country:US
Mailing Address - Phone:318-579-5101
Mailing Address - Fax:318-579-5106
Practice Address - Street 1:1564 HAZEL ST
Practice Address - Street 2:
Practice Address - City:ARCADIA
Practice Address - State:LA
Practice Address - Zip Code:71001-4106
Practice Address - Country:US
Practice Address - Phone:318-579-5101
Practice Address - Fax:318-579-5106
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-23
Last Update Date:2022-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health