Provider Demographics
NPI:1225102460
Name:BATT, DONNA VIOLA (MED, LCPC, LMFT)
Entity Type:Individual
Prefix:MS
First Name:DONNA
Middle Name:VIOLA
Last Name:BATT
Suffix:
Gender:F
Credentials:MED, LCPC, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 942
Mailing Address - Street 2:
Mailing Address - City:FRUITLAND
Mailing Address - State:ID
Mailing Address - Zip Code:83619-0942
Mailing Address - Country:US
Mailing Address - Phone:208-452-5240
Mailing Address - Fax:208-452-5240
Practice Address - Street 1:7763 ELMORE RD
Practice Address - Street 2:
Practice Address - City:FRUITLAND
Practice Address - State:ID
Practice Address - Zip Code:83619-3528
Practice Address - Country:US
Practice Address - Phone:208-452-5240
Practice Address - Fax:208-452-5240
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDLMFT-2924 LCPC-185101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health