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NPI 1972126480

NPI 1972126480 : TERRILYN BATTLE LCMHC-A, LCAS-A, CRC : GREENSBORO, NC

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General NPI Number Information
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    NPI Number           |    1972126480
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    Entity Type          |    Individual 
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    Provider Name        |    TERRILYN BATTLE LCMHC-A, LCAS-A, CRC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/19/2020
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    Last Update Date     |    07/25/2022
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Provider Practice Location Address
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    Address Line         |    411 PARKWAY ST STE I 
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    City                 |    GREENSBORO
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    State                |    NC
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    Zip                  |    27401-1644
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    Country              |    US
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    Telephone            |    336-301-9247
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    Fax                  |    855-899-6137
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Provider Business Mailing Address
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    Address Line         |    411 PARKWAY ST STE I 
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    City                 |    GREENSBORO
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    State                |    NC
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    Zip                  |    27401-1644
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    Country              |    US
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    Telephone            |    336-301-9247
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    Fax                  |    855-899-6137
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101YA0400X
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    Taxonomy Name        |    Addiction (Substance Use Disorder) Counselor
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    225C00000X
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    Taxonomy Name        |    Rehabilitation Counselor
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    101Y00000X
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    Taxonomy Name        |    Counselor
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    License Number       |    CRC-00116794
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    License Number State |    
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