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NPI Code Detail

MEDICARE: ALICIA RENEE BATTLE LCASA, LCMHCA

MEDICARE:   ALICIA RENEE BATTLE  LCASA, LCMHCA
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
1101YA0400XAddiction (Substance Use Disorder) CounselorLCAS-26168NC
2101YM0800XMental Health CounselorA15503NC

General Provider Information

NPI Number : 1235741075
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALICIA RENEE BATTLE LCASA, LCMHCA
Provider Business Mailing Address
First Line : 8311 BRIER CREEK PKWY STE 105-167
Second Line :
City : RALEIGH
State : NC
Zip : 27617-7328
Country : US
Telephone Number : 919-713-3102
Fax Number :
Provider Business Practice Location Address
First Line : 8311 BRIER CREEK PKWY STE 105-167
Second Line :
City : RALEIGH
State : NC
Zip : 27617-7328
Country : US
Telephone Number : 919-713-3102
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/22/2020
Last Update Date : 08/22/2020

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Directions to “ ALICIA RENEE BATTLE LCASA, LCMHCA” Practice Location

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