MEDICARE: AMY C BABISH MA, LPC, ATR-BC

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	101YP2500X	Professional Counselor	PRC14086	DC

General Provider Information

NPI Number	:	1396005187
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMY C BABISH MA, LPC, ATR-BC

Provider Business Mailing Address
First Line	:	8801 LAW CT
Second Line	:
City	:	SPRINGFIELD
State	:	VA
Zip	:	22152-2628
Country	:	US
Telephone Number	:	202-830-5878
Fax Number	:

Provider Business Practice Location Address
First Line	:	8801 LAW CT
Second Line	:
City	:	SPRINGFIELD
State	:	VA
Zip	:	22152-2628
Country	:	US
Telephone Number	:	202-830-5878
Fax Number	:

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

Provider Enumeration Date	:	05/25/2012
Last Update Date	:	11/17/2023

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