Basic Information
| Provider Information | |||||||||
| NPI: | 1083206536 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BATTLEY | ||||||||
| FirstName: | ARIEL | ||||||||
| MiddleName: | NYKOLE | ||||||||
| NamePrefix: | MS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | BSW,RSW | ||||||||
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| Mailing Information | |||||||||
| Address1: | 11940 BRICKSOME AVE STE C | ||||||||
| Address2: | |||||||||
| City: | BATON ROUGE | ||||||||
| State: | LA | ||||||||
| PostalCode: | 708162594 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2252505829 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 6603 OAK PARK DR | ||||||||
| Address2: | |||||||||
| City: | BATON ROUGE | ||||||||
| State: | LA | ||||||||
| PostalCode: | 708121355 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2255732798 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/05/2021 | ||||||||
| LastUpdateDate: | 03/01/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 03/01/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 104100000X | 16352 | LA | N | Behavioral Health & Social Service Providers | Social Worker | 171M00000X | Y | Other Service Providers | Case Manager/Care Coordinator |
No ID Information.