MEDICARE: BATTLE MENTAL HEALTH, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	101YA0400X	Addiction (Substance Use Disorder) Counselor
2	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)
3	261QM0850X	Adult Mental Health Clinic/Center
4	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1669084406
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BATTLE MENTAL HEALTH, PLLC

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	:	OWNER
Name	:	ALICIA BATTLE
Credential	:	LCASA, LCMHCA
Telephone Number	:	919-713-3102

Provider Enumeration Date	:	08/22/2020
Last Update Date	:	08/22/2020

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