Basic Information
| Provider Information | |||||||||
| NPI: | 1275920605 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | HUMBLE BEGINNINGS COUNSELING AGENCY, LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1770 WASHINGTON ST STE 2 | ||||||||
| Address2: | |||||||||
| City: | ARCADIA | ||||||||
| State: | LA | ||||||||
| PostalCode: | 710014301 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3185795101 | ||||||||
| FaxNumber: | 3185795106 | ||||||||
| Practice Location | |||||||||
| Address1: | 1564 HAZEL ST | ||||||||
| Address2: | |||||||||
| City: | ARCADIA | ||||||||
| State: | LA | ||||||||
| PostalCode: | 710014106 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3185795101 | ||||||||
| FaxNumber: | 3185795106 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/23/2015 | ||||||||
| LastUpdateDate: | 02/16/2022 | ||||||||
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| AuthorizedOfficialLastName: | MURPHY | ||||||||
| AuthorizedOfficialFirstName: | CYNTHIA | ||||||||
| AuthorizedOfficialMiddleName: | JACKSON | ||||||||
| AuthorizedOfficialTitleorPosition: | PROGRAM DIRECTOR/OWNER | ||||||||
| AuthorizedOfficialTelephone: | 3185149029 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MRS. | ||||||||
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| AuthorizedOfficialCredential: | MAT | ||||||||
| NPICertificationDate: | 02/16/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251S00000X | Y | Agencies | Community/Behavioral Health |
No ID Information.