MEDICARE: ANN MICHELE EMERSON-BATTIEN LMHC

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	101YM0800X	Mental Health Counselor	001071	IA

General Provider Information

NPI Number	:	1225263874
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANN MICHELE EMERSON-BATTIEN LMHC

Provider Business Mailing Address
First Line	:	100 E EUCLID AVE
Second Line	:	SUITE 143
City	:	DES MOINES
State	:	IA
Zip	:	50313-4511
Country	:	US
Telephone Number	:	515-256-8001
Fax Number	:	515-256-8082

Provider Business Practice Location Address
First Line	:	100 E EUCLID AVE
Second Line	:	SUITE 143
City	:	DES MOINES
State	:	IA
Zip	:	50313-4511
Country	:	US
Telephone Number	:	515-256-8001
Fax Number	:	515-256-8082

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

Provider Enumeration Date	:	05/27/2009
Last Update Date	:	05/27/2009

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