Provider Demographics
NPI:1891283719
Name:BABIK, ALEXIS (LISW)
Entity Type:Individual
Prefix:
First Name:ALEXIS
Middle Name:
Last Name:BABIK
Suffix:
Gender:F
Credentials:LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6560 SHENANDOAH DR
Mailing Address - Street 2:
Mailing Address - City:REYNOLDSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43068-1950
Mailing Address - Country:US
Mailing Address - Phone:330-770-7213
Mailing Address - Fax:
Practice Address - Street 1:6560 SHENANDOAH DR
Practice Address - Street 2:
Practice Address - City:REYNOLDSBURG
Practice Address - State:OH
Practice Address - Zip Code:43068-1950
Practice Address - Country:US
Practice Address - Phone:330-770-7213
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-26
Last Update Date:2022-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI.21032631041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical