Provider Demographics
NPI:1740300052
Name:BABBISH, ANTONIA CAROL (LICENSED MARRIAGE AN)
Entity type:Individual
Prefix:MISS
First Name:ANTONIA
Middle Name:CAROL
Last Name:BABBISH
Suffix:
Gender:F
Credentials:LICENSED MARRIAGE AN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9008 DOVE RIVER ROAD
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89134-1800
Mailing Address - Country:US
Mailing Address - Phone:702-242-6328
Mailing Address - Fax:702-243-3097
Practice Address - Street 1:7341 WEST CHARLESTON
Practice Address - Street 2:SUITE #150
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89117-1569
Practice Address - Country:US
Practice Address - Phone:702-242-6328
Practice Address - Fax:702-243-3097
Is Sole Proprietor?:No
Enumeration Date:2007-03-30
Last Update Date:2007-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YA0400X
NVMFT0681106H00000X
NVLADC00940106H00000X
NV101YS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Not Answered101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool