MEDICARE: MRS. AMY BETH BATCHELOR LPC, CMA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	2819	OK

General Provider Information

NPI Number	:	1003826579
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. AMY BETH BATCHELOR LPC, CMA

Provider Business Mailing Address
First Line	:	1204 SCOTCH PNE
Second Line	:
City	:	EDMOND
State	:	OK
Zip	:	73012-4365
Country	:	US
Telephone Number	:	405-664-3048
Fax Number	:

Provider Business Practice Location Address
First Line	:	9212 N KELLEY AVE
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73131-2419
Country	:	US
Telephone Number	:	405-242-5070
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/08/2006
Last Update Date	:	04/16/2020

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