Healthcare Provider Details

I. General information

NPI: 1639040793
Provider Name (Legal Business Name): BATTLECARE COUNSELING SERVICES LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/13/2025
Last Update Date: 09/13/2025
Certification Date: 09/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1209 MOUNTAIN ROAD PL NE STE B
ALBUQUERQUE NM
87110-7836
US

IV. Provider business mailing address

1209 MOUNTAIN ROAD PL NE STE B
ALBUQUERQUE NM
87110-7836
US

V. Phone/Fax

Practice location:
  • Phone: 919-702-3006
  • Fax:
Mailing address:
  • Phone: 919-702-3006
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: MRS. JACQUELYN BATTLE
Title or Position: CEO
Credential: LMSW
Phone: 919-702-3006