MEDICARE: MR. TERRANCE LAVELLE BATTLES LPC

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	101YP2500X	Professional Counselor	LPC05007	AL
2	101YM0800X	Mental Health Counselor	LPC05007	AL

General Provider Information

NPI Number	:	1851074769
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. TERRANCE LAVELLE BATTLES LPC

Provider Business Mailing Address
First Line	:	6190 GIRBY RD APT 1213
Second Line	:
City	:	MOBILE
State	:	AL
Zip	:	36693-3372
Country	:	US
Telephone Number	:	251-753-5162
Fax Number	:

Provider Business Practice Location Address
First Line	:	6190 GIRBY RD APT 1213
Second Line	:
City	:	MOBILE
State	:	AL
Zip	:	36693-3372
Country	:	US
Telephone Number	:	251-753-5162
Fax Number	:

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

Provider Enumeration Date	:	08/08/2023
Last Update Date	:	04/07/2026

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