Provider Demographics
NPI:1407554082
Name:BATTISTE, CATINA P (MA)
Entity Type:Individual
Prefix:MRS
First Name:CATINA
Middle Name:P
Last Name:BATTISTE
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:58465 BAYOU RD
Mailing Address - Street 2:
Mailing Address - City:PLAQUEMINE
Mailing Address - State:LA
Mailing Address - Zip Code:70764-2668
Mailing Address - Country:US
Mailing Address - Phone:225-776-6239
Mailing Address - Fax:
Practice Address - Street 1:58155 CHINN ST
Practice Address - Street 2:
Practice Address - City:PLAQUEMINE
Practice Address - State:LA
Practice Address - Zip Code:70764-3601
Practice Address - Country:US
Practice Address - Phone:225-385-4543
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-22
Last Update Date:2023-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA2203783011171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator