Provider Demographics
NPI:1477866473
Name:BATTON, ANDREA GARITEE (LGPC)
Entity Type:Individual
Prefix:
First Name:ANDREA
Middle Name:GARITEE
Last Name:BATTON
Suffix:
Gender:F
Credentials:LGPC
Other - Prefix:
Other - First Name:ANDREA
Other - Middle Name:MARINA
Other - Last Name:GARITEE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1212 YORK RD
Mailing Address - Street 2:SUITE A302
Mailing Address - City:LUTHERVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21093-6240
Mailing Address - Country:US
Mailing Address - Phone:443-353-9443
Mailing Address - Fax:410-296-0609
Practice Address - Street 1:1212 YORK RD
Practice Address - Street 2:SUITE A302
Practice Address - City:LUTHERVILLE
Practice Address - State:MD
Practice Address - Zip Code:21093-6240
Practice Address - Country:US
Practice Address - Phone:443-353-9443
Practice Address - Fax:410-296-0609
Is Sole Proprietor?:No
Enumeration Date:2010-07-19
Last Update Date:2011-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC4177101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional