Provider Demographics
NPI:1578176624
Name:CAROLYN LABBE, LMFT
Entity Type:Organization
Organization Name:CAROLYN LABBE, LMFT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CAROLYN
Authorized Official - Middle Name:
Authorized Official - Last Name:LABBE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-207-1335
Mailing Address - Street 1:18746 ROMAR ST
Mailing Address - Street 2:
Mailing Address - City:NORTHRIDGE
Mailing Address - State:CA
Mailing Address - Zip Code:91324-1333
Mailing Address - Country:US
Mailing Address - Phone:818-207-1335
Mailing Address - Fax:
Practice Address - Street 1:11239 TAMPA AVE STE 206
Practice Address - Street 2:
Practice Address - City:NORTHRIDGE
Practice Address - State:CA
Practice Address - Zip Code:91326-3781
Practice Address - Country:US
Practice Address - Phone:818-207-1335
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-28
Last Update Date:2020-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty