Provider Demographics
NPI:1740423565
Name:LEBLANC, IONA BABINO (LBSW, IPR,CART)
Entity Type:Individual
Prefix:MRS
First Name:IONA
Middle Name:BABINO
Last Name:LEBLANC
Suffix:
Gender:F
Credentials:LBSW, IPR,CART
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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:409-293-9473
Mailing Address - Fax:409-892-5086
Practice Address - Street 1:6970 LEBLANC RD
Practice Address - Street 2:6970 LEBLANC RD
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77708-3311
Practice Address - Country:US
Practice Address - Phone:409-293-9473
Practice Address - Fax:409-892-5086
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-08
Last Update Date:2009-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX33546171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator