Doctor Name: | MS. JAMIE CRYSTALEE BATTLES |
NPI Number: | 1336192319 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPE |
License Number: | 03-11E |
Business Practice Address: | 1716 W Searcy St Heber Springs, AR - 725433532 |
Business Phone Number: | 5013627595 |
Business Fax Number: | 5013626499 |
Mailing Address: | Po Box 146, GUY |
State: | AR |
Postal Code: | 720610146 |
Phone Number: | 5013627595 |
Fax Number: | 5013626499 |
NPI Enumeration Date: | 05/18/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 03-11E |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |