Provider Demographics
NPI:1396005187
Name:BABISH, AMY C (MA, LPC, ATR-BC)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:C
Last Name:BABISH
Suffix:
Gender:F
Credentials:MA, LPC, ATR-BC
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:
Other - Last Name:TATSUMI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, LPC, ATR-BC
Mailing Address - Street 1:8801 LAW CT
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:22152-2628
Mailing Address - Country:US
Mailing Address - Phone:202-830-5878
Mailing Address - Fax:
Practice Address - Street 1:8801 LAW CT
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:VA
Practice Address - Zip Code:22152-2628
Practice Address - Country:US
Practice Address - Phone:202-830-5878
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-25
Last Update Date:2023-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPRC14086101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional