MEDICARE: JENNA BATCHELOR

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	A18878	NC

General Provider Information

NPI Number	:	1073499067
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNA BATCHELOR

Provider Business Mailing Address
First Line	:	8458 FOREST COVE RD
Second Line	:
City	:	ELM CITY
State	:	NC
Zip	:	27822-9259
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8458 FOREST COVE RD
Second Line	:
City	:	ELM CITY
State	:	NC
Zip	:	27822-9259
Country	:	US
Telephone Number	:	252-883-0323
Fax Number	:

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

Provider Enumeration Date	:	08/14/2025
Last Update Date	:	08/14/2025

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Directions to “ JENNA BATCHELOR ” Practice Location

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