MEDICARE: MRS. JUANITA LUNA BATEMAN MA, LPCC, PMH-C

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	CC05078	MN

General Provider Information

NPI Number	:	1891026118
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JUANITA LUNA BATEMAN MA, LPCC, PMH-C

Provider Business Mailing Address
First Line	:	3840 110TH AVE SW
Second Line	:
City	:	BYRON
State	:	MN
Zip	:	55920-6223
Country	:	US
Telephone Number	:	507-244-1562
Fax Number	:

Provider Business Practice Location Address
First Line	:	3038 JEREMIAH LN NW
Second Line	:
City	:	ROCHESTER
State	:	MN
Zip	:	55901-5724
Country	:	US
Telephone Number	:	507-993-7731
Fax Number	:

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

Provider Enumeration Date	:	01/26/2010
Last Update Date	:	08/25/2025

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