MEDICARE: MARCIA BATUR LMHC

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	MH4397	FL

General Provider Information

NPI Number	:	1548795248
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARCIA BATUR LMHC

Provider Business Mailing Address
First Line	:	12032 N.W. 13TH STREET
Second Line	:
City	:	PEMBROKE PINES
State	:	FL
Zip	:	33026
Country	:	US
Telephone Number	:	954-295-5957
Fax Number	:

Provider Business Practice Location Address
First Line	:	12032 NW 13TH ST
Second Line	:
City	:	PEMBROKE PINES
State	:	FL
Zip	:	33026-4352
Country	:	US
Telephone Number	:	954-295-5957
Fax Number	:

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

Provider Enumeration Date	:	05/01/2017
Last Update Date	:	05/01/2017

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