Provider Demographics
| NPI: | 1861848160 |
|---|---|
| Name: | REEVES, BABETTE DAVIS (CSWA) |
| Entity type: | Individual |
| Prefix: | MS |
| First Name: | BABETTE |
| Middle Name: | DAVIS |
| Last Name: | REEVES |
| Suffix: | |
| Gender: | F |
| Credentials: | CSWA |
| Other - Prefix: | |
| Other - First Name: | |
| Other - Middle Name: | |
| Other - Last Name: | |
| Other - Suffix: | |
| Other - Last Name Type: | |
| Other - Credentials: | |
| Mailing Address - Street 1: | 364 SE 8TH AVE STE 301 |
| Mailing Address - Street 2: | |
| Mailing Address - City: | HILLSBORO |
| Mailing Address - State: | OR |
| Mailing Address - Zip Code: | 97123-4250 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 503-681-4233 |
| Mailing Address - Fax: | 503-681-4234 |
| Practice Address - Street 1: | 364 SE 8TH AVE STE 301 |
| Practice Address - Street 2: | |
| Practice Address - City: | HILLSBORO |
| Practice Address - State: | OR |
| Practice Address - Zip Code: | 97123-4250 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 503-681-4233 |
| Practice Address - Fax: | 503-681-4234 |
| Is Sole Proprietor?: | No |
| Enumeration Date: | 2016-05-05 |
| Last Update Date: | 2021-11-30 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Licenses
| State | License ID | Taxonomies |
|---|---|---|
| 101YA0400X, 101YM0800X | ||
| OR | L8183 | 1041C0700X |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization |
|---|---|---|---|---|
| Yes | 1041C0700X | Behavioral Health & Social Service Providers | Social Worker | Clinical |
| No | 101YA0400X | Behavioral Health & Social Service Providers | Counselor | Addiction (Substance Use Disorder) |
| No | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | Mental Health |