Provider Demographics
NPI:1790844892
Name:HILES, BABETTE MARIE (PSYD LPC)
Entity Type:Individual
Prefix:DR
First Name:BABETTE
Middle Name:MARIE
Last Name:HILES
Suffix:
Gender:F
Credentials:PSYD LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 NE MUNGER AVE
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64119-3013
Mailing Address - Country:US
Mailing Address - Phone:816-436-2630
Mailing Address - Fax:816-436-2630
Practice Address - Street 1:9 NE MUNGER AVE
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64119-3013
Practice Address - Country:US
Practice Address - Phone:816-436-2630
Practice Address - Fax:816-436-2630
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO002384101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional