MEDICARE: URSULA BATISTE LPC, NCC

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	6519	LA

General Provider Information

NPI Number	:	1639543382
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	URSULA BATISTE LPC, NCC

Provider Business Mailing Address
First Line	:	1081 BROOKWOOD DR
Second Line	:
City	:	SAINT MARTINVILLE
State	:	LA
Zip	:	70582-7242
Country	:	US
Telephone Number	:	337-577-4044
Fax Number	:

Provider Business Practice Location Address
First Line	:	400 S MAIN ST STE E
Second Line	:
City	:	SAINT MARTINVILLE
State	:	LA
Zip	:	70582-4544
Country	:	US
Telephone Number	:	337-577-4044
Fax Number	:

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

Provider Enumeration Date	:	11/18/2015
Last Update Date	:	06/23/2021

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