Healthcare Provider Details

I. General information

NPI: 1851074769
Provider Name (Legal Business Name): TERRANCE LAVELLE BATTLES LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/08/2023
Last Update Date: 04/07/2026
Certification Date: 04/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6190 GIRBY RD APT 1213
MOBILE AL
36693-3372
US

IV. Provider business mailing address

6190 GIRBY RD APT 1213
MOBILE AL
36693-3372
US

V. Phone/Fax

Practice location:
  • Phone: 251-753-5162
  • Fax:
Mailing address:
  • Phone: 251-753-5162
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC05007
License Number StateAL
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPC05007
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: