Provider Demographics
NPI:1336498054
Name:BATIE-COLLIER, MARISSA (MSW, CSW)
Entity Type:Individual
Prefix:
First Name:MARISSA
Middle Name:
Last Name:BATIE-COLLIER
Suffix:
Gender:F
Credentials:MSW, CSW
Other - Prefix:
Other - First Name:MARISSA
Other - Middle Name:
Other - Last Name:BATIE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:COLLIER
Mailing Address - Street 1:3821 CASTLEBERRY DR
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32303-2113
Mailing Address - Country:US
Mailing Address - Phone:850-405-3639
Mailing Address - Fax:888-462-8914
Practice Address - Street 1:3821 CASTLEBERRY DR
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32303-2113
Practice Address - Country:US
Practice Address - Phone:850-354-8953
Practice Address - Fax:888-462-8914
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-10
Last Update Date:2020-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LACSW16042101YP2500X
104100000X
FLISW8595101YP2500X
KY255230101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial Worker