Provider Demographics
NPI:1083254106
Name:BATTLE BORN COUNSELING LLC
Entity Type:Organization
Organization Name:BATTLE BORN COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:BRANDIE
Authorized Official - Middle Name:
Authorized Official - Last Name:LINCOLN
Authorized Official - Suffix:
Authorized Official - Credentials:CADC
Authorized Official - Phone:775-450-5568
Mailing Address - Street 1:1801 E WILLIAM ST STE A
Mailing Address - Street 2:
Mailing Address - City:CARSON CITY
Mailing Address - State:NV
Mailing Address - Zip Code:89701-3203
Mailing Address - Country:US
Mailing Address - Phone:775-350-4809
Mailing Address - Fax:
Practice Address - Street 1:1801 E WILLIAM ST STE A
Practice Address - Street 2:
Practice Address - City:CARSON CITY
Practice Address - State:NV
Practice Address - Zip Code:89701-3203
Practice Address - Country:US
Practice Address - Phone:775-350-4809
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-07
Last Update Date:2020-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder