MEDICARE: PRISCILLA STEPHANIE BATARSE MS, LMFT

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	106H00000X	Marriage & Family Therapist	93755	CA
2	106H00000X	Marriage & Family Therapist	8604	ID
3	106H00000X	Marriage & Family Therapist	72958	MT
4	106H00000X	Marriage & Family Therapist	16237	AZ

General Provider Information

NPI Number	:	1770839193
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PRISCILLA STEPHANIE BATARSE MS, LMFT

Provider Business Mailing Address
First Line	:	PO BOX 6517
Second Line	:
City	:	VENTURA
State	:	CA
Zip	:	93006-6517
Country	:	US
Telephone Number	:	805-616-1450
Fax Number	:	805-666-3230

Provider Business Practice Location Address
First Line	:	784 S CLEARWATER LOOP STE B
Second Line	:
City	:	POST FALLS
State	:	ID
Zip	:	83854-9599
Country	:	US
Telephone Number	:	805-616-1450
Fax Number	:	805-666-3230

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

Provider Enumeration Date	:	08/03/2012
Last Update Date	:	01/03/2025

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