MEDICARE: CARLY BATTAGLIA LPCC

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	E.2001712	OH
2	101Y00000X	Counselor	E.2001712	OH

General Provider Information

NPI Number	:	1154847457
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARLY BATTAGLIA LPCC

Provider Business Mailing Address
First Line	:	PO BOX 13835
Second Line	:
City	:	FAIRLAWN
State	:	OH
Zip	:	44334-3835
Country	:	US
Telephone Number	:	440-532-9691
Fax Number	:

Provider Business Practice Location Address
First Line	:	4453 LUCKYSTONE WAY
Second Line	:
City	:	MEDINA
State	:	OH
Zip	:	44256-5533
Country	:	US
Telephone Number	:	330-271-0008
Fax Number	:

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

Provider Enumeration Date	:	08/17/2017
Last Update Date	:	01/20/2026

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Directions to “ CARLY BATTAGLIA LPCC” Practice Location

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