Healthcare Provider Details

I. General information

NPI: 1649965062
Provider Name (Legal Business Name): BATTLES THERAPY & CONSULTATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/11/2023
Last Update Date: 07/25/2023
Certification Date: 07/25/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5025 GARLAND ST
LINCOLN NE
68504-2904
US

IV. Provider business mailing address

5025 GARLAND ST
LINCOLN NE
68504-2904
US

V. Phone/Fax

Practice location:
  • Phone: 402-937-8122
  • Fax:
Mailing address:
  • Phone: 402-937-8122
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ANGELA D BATTLES
Title or Position: OWNER
Credential: LCSW
Phone: 402-937-8122