Provider Demographics
NPI:1376747832
Name:BATISTA, KRISTIN ALLISON (LMHC)
Entity Type:Individual
Prefix:MRS
First Name:KRISTIN
Middle Name:ALLISON
Last Name:BATISTA
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:81 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02019-1469
Mailing Address - Country:US
Mailing Address - Phone:508-966-3880
Mailing Address - Fax:508-966-3880
Practice Address - Street 1:81 N MAIN ST
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:MA
Practice Address - Zip Code:02019-1469
Practice Address - Country:US
Practice Address - Phone:508-966-3880
Practice Address - Fax:508-966-3880
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA4690101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health