Provider Demographics
NPI:1396418802
Name:BRITTANY BATE PH.D. PLLC
Entity Type:Organization
Organization Name:BRITTANY BATE PH.D. PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/FOUNDER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRITTANY
Authorized Official - Middle Name:
Authorized Official - Last Name:BATE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:313-732-7930
Mailing Address - Street 1:10510 SABLEWOOD DR UNIT 101
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27617-2075
Mailing Address - Country:US
Mailing Address - Phone:313-732-7930
Mailing Address - Fax:
Practice Address - Street 1:1710 E FRANKLIN ST # 1003
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-5851
Practice Address - Country:US
Practice Address - Phone:919-300-5221
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-29
Last Update Date:2021-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty