Provider Demographics
NPI:1366469348
Name:BATTLE, ANGELA OLIVER (LCSW)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:OLIVER
Last Name:BATTLE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:235 E PONCE DE LEON AVE
Mailing Address - Street 2:SUITE 225
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30030-3488
Mailing Address - Country:US
Mailing Address - Phone:404-974-2550
Mailing Address - Fax:404-974-2537
Practice Address - Street 1:235 E PONCE DE LEON AVE
Practice Address - Street 2:SUITE 225
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30030-3488
Practice Address - Country:US
Practice Address - Phone:404-974-2550
Practice Address - Fax:404-974-2537
Is Sole Proprietor?:No
Enumeration Date:2006-07-16
Last Update Date:2010-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACSW0026701041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical