Provider Demographics
NPI:1477288728
Name:BAT CITY MENTAL HEALTH, PLLC
Entity Type:Organization
Organization Name:BAT CITY MENTAL HEALTH, PLLC
Other - Org Name:ELLIE MENTAL HEALTH (PFLUGERVILLE)
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FABEAIN
Authorized Official - Middle Name:DAMONTE
Authorized Official - Last Name:BARKWELL
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:512-879-9839
Mailing Address - Street 1:701 FM 685 STE 450
Mailing Address - Street 2:
Mailing Address - City:PFLUGERVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78660-2899
Mailing Address - Country:US
Mailing Address - Phone:512-379-7728
Mailing Address - Fax:
Practice Address - Street 1:701 FM 685 STE 450
Practice Address - Street 2:
Practice Address - City:PFLUGERVILLE
Practice Address - State:TX
Practice Address - Zip Code:78660-2899
Practice Address - Country:US
Practice Address - Phone:512-379-7728
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-20
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty