Healthcare Provider Details

I. General information

NPI: 1447080056
Provider Name (Legal Business Name): SANTA L BATTS MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/07/2024
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6406 COACHGATE DR
SPRING TX
77373-7318
US

IV. Provider business mailing address

6406 COACHGATE DR
SPRING TX
77373-7318
US

V. Phone/Fax

Practice location:
  • Phone: 832-704-0977
  • Fax: 832-704-0977
Mailing address:
  • Phone: 832-704-0977
  • Fax: 832-704-0977

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number11247
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: