Basic Information
Provider Information
NPI: 1720030141
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BATTEN
FirstName: RHONDA
MiddleName: C
NamePrefix: MRS.
NameSuffix:  
Credential: LPC
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 943
Address2:  
City: FAYETTEVILLE
State: NC
PostalCode: 283020943
CountryCode: US
TelephoneNumber: 9102237114
FaxNumber: 9102230098
Practice Location
Address1: 108 HAY ST
Address2:  
City: FAYETTEVILLE
State: NC
PostalCode: 283015650
CountryCode: US
TelephoneNumber: 9102237114
FaxNumber: 9102230098
Other Information
ProviderEnumerationDate: 05/16/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
101YM0800X3733NCY Behavioral Health & Social Service ProvidersCounselorMental Health

No ID Information.


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