Provider Demographics
NPI:1295506939
Name:BATCHAN, TUNYALUK NMN (MFT)
Entity type:Individual
Prefix:
First Name:TUNYALUK
Middle Name:NMN
Last Name:BATCHAN
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:TUNYALUK
Other - Middle Name:
Other - Last Name:KAMKING
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:117 S LEXINGTON ST STE 100
Mailing Address - Street 2:
Mailing Address - City:HARRISONVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:64701-2443
Mailing Address - Country:US
Mailing Address - Phone:573-299-1987
Mailing Address - Fax:417-290-2238
Practice Address - Street 1:117 S LEXINGTON ST STE 100
Practice Address - Street 2:
Practice Address - City:HARRISONVILLE
Practice Address - State:MO
Practice Address - Zip Code:64701-2443
Practice Address - Country:US
Practice Address - Phone:573-299-1987
Practice Address - Fax:417-290-2238
Is Sole Proprietor?:No
Enumeration Date:2024-01-11
Last Update Date:2025-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO490152420Medicaid