MEDICARE: DR. BARBARA QUILLEN HUMBLES ED.D, M.S.W. LMFT,

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor	638	LA
2	101Y00000X	Counselor	5783	LA
3	101Y00000X	Counselor	24710	IN
4	101Y00000X	Counselor	20674	IN
5	101YA0400X	Addiction (Substance Use Disorder) Counselor	C-4068	MN
6	101YM0800X	Mental Health Counselor	767	LA

General Provider Information

NPI Number	:	1134250442
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BARBARA QUILLEN HUMBLES ED.D, M.S.W. LMFT,

Provider Business Mailing Address
First Line	:	11908 KINGSTON DR
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70807-2075
Country	:	US
Telephone Number	:	225-774-6761
Fax Number	:	225-658-7630

Provider Business Practice Location Address
First Line	:	405 SAINT FERDINAND ST
Second Line	:	SUITE 2
City	:	BATON ROUGE
State	:	LA
Zip	:	70802-6164
Country	:	US
Telephone Number	:	225-774-6761
Fax Number	:	225-658-7630

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/08/2007
Last Update Date	:	09/11/2025

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