Provider Demographics
NPI:1326217621
Name:BABB, LANISE (MA, LMLP)
Entity Type:Individual
Prefix:
First Name:LANISE
Middle Name:
Last Name:BABB
Suffix:
Gender:F
Credentials:MA, LMLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 5297
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66605-0297
Mailing Address - Country:US
Mailing Address - Phone:785-969-6395
Mailing Address - Fax:
Practice Address - Street 1:13351 S ARAPAHO DR
Practice Address - Street 2:
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66062-1520
Practice Address - Country:US
Practice Address - Phone:913-353-3000
Practice Address - Fax:913-489-5402
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-21
Last Update Date:2016-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSLMLP 2575103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical