Healthcare Provider Details

I. General information

NPI: 1528979382
Provider Name (Legal Business Name): STEPHANIE BATTY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: STEPHANIE ASLETT

II. Dates (important events)

Enumeration Date: 09/12/2026
Last Update Date: 09/12/2026
Certification Date: 09/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 1317
SNOWFLAKE AZ
85937-1317
US

IV. Provider business mailing address

PO BOX 1317
SNOWFLAKE AZ
85937-1317
US

V. Phone/Fax

Practice location:
  • Phone: 928-243-1722
  • Fax:
Mailing address:
  • Phone: 928-243-1722
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberLMFT-16588
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: