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NPI Code Detail

MEDICARE: MS. DOMINIQUE MICHELLE BATTLE M.S., NCC, CFT

MEDICARE: MS. DOMINIQUE MICHELLE BATTLE M.S., NCC, CFT
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
1101YM0800XMental Health CounselorR12124OR

General Provider Information

NPI Number : 1083015713
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. DOMINIQUE MICHELLE BATTLE M.S., NCC, CFT
Provider Business Mailing Address
First Line : 877 W MINNEOLA AVE UNIT 120946
Second Line :
City : CLERMONT
State : FL
Zip : 34712-7039
Country : US
Telephone Number : 407-951-4207
Fax Number : 321-348-2861
Provider Business Practice Location Address
First Line : 11740 SW 68TH PKWY STE 200
Second Line :
City : TIGARD
State : OR
Zip : 97223-9058
Country : US
Telephone Number : 541-252-7595
Fax Number : 321-348-5786
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/12/2014
Last Update Date : 12/04/2025

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