Provider Demographics
NPI:1639304314
Name:IBL SOCIAL SERVICES
Entity Type:Organization
Organization Name:IBL SOCIAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:IONA
Authorized Official - Middle Name:
Authorized Official - Last Name:LEBLANC
Authorized Official - Suffix:
Authorized Official - Credentials:LBSW,IPR
Authorized Official - Phone:409-892-5086
Mailing Address - Street 1:6970 LEBLANC RD
Mailing Address - Street 2:
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77708-3311
Mailing Address - Country:US
Mailing Address - Phone:409-892-5086
Mailing Address - Fax:409-892-1373
Practice Address - Street 1:6970 LEBLANC RD
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77708-3311
Practice Address - Country:US
Practice Address - Phone:409-892-5086
Practice Address - Fax:409-892-1337
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-24
Last Update Date:2009-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX33546171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty