Healthcare Provider Details
I. General information
NPI: 1730858390
Provider Name (Legal Business Name): EMPATH PSYCHOLOGICAL SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/08/2021
Last Update Date: 09/08/2021
Certification Date: 08/21/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4050 LAGRANDE PRINCESSE SUITE 12
CHRISTIANSTED VI
00820
US
IV. Provider business mailing address
4050 LAGRANDE PRINCESSE SUITE 12
CHRISTIANSTED VI
00820
US
V. Phone/Fax
- Phone: 340-277-0087
- Fax:
- Phone: 340-277-0087
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QM0850X |
| Taxonomy | Adult Mental Health Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
VANESSA
BATTISTE
Title or Position: OWNER
Credential: PH.D.
Phone: 340-226-7540