Healthcare Provider Details

I. General information

NPI: 1457263162
Provider Name (Legal Business Name): LEIGH KATHRYN BABINEAUX
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/18/2026
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1602 W PINHOOK RD
LAFAYETTE LA
70508-3735
US

IV. Provider business mailing address

104 S WILLIAM DR
LAFAYETTE LA
70506-7342
US

V. Phone/Fax

Practice location:
  • Phone: 337-281-2722
  • Fax:
Mailing address:
  • Phone: 337-315-7731
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number10296
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: