Provider Demographics
NPI:1134250442
Name:HUMBLES, BARBARA QUILLEN (EDD, MSW LMFT,)
Entity type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:QUILLEN
Last Name:HUMBLES
Suffix:
Gender:F
Credentials:EDD, MSW LMFT,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11908 KINGSTON DR
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70807-2075
Mailing Address - Country:US
Mailing Address - Phone:225-774-6761
Mailing Address - Fax:225-658-7630
Practice Address - Street 1:405 SAINT FERDINAND ST
Practice Address - Street 2:SUITE 2
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70802-6164
Practice Address - Country:US
Practice Address - Phone:225-774-6761
Practice Address - Fax:225-658-7630
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA638101Y00000X
LA5783101Y00000X
IN24710101Y00000X
IN20674101Y00000X
MNC-4068101YA0400X
LA767101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101Y00000XBehavioral Health & Social Service ProvidersCounselor
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health