Provider Demographics
NPI:1508033390
Name:PAULA BATTS LMFT PC
Entity Type:Organization
Organization Name:PAULA BATTS LMFT PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:PAULA
Authorized Official - Middle Name:SHURDEN
Authorized Official - Last Name:BATTS
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:706-275-8104
Mailing Address - Street 1:203 N THORNTON AVE
Mailing Address - Street 2:
Mailing Address - City:DALTON
Mailing Address - State:GA
Mailing Address - Zip Code:30720-4273
Mailing Address - Country:US
Mailing Address - Phone:706-275-8104
Mailing Address - Fax:706-275-8134
Practice Address - Street 1:203 N THORNTON AVE
Practice Address - Street 2:
Practice Address - City:DALTON
Practice Address - State:GA
Practice Address - Zip Code:30720-4273
Practice Address - Country:US
Practice Address - Phone:706-275-8104
Practice Address - Fax:706-275-8134
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-12
Last Update Date:2008-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAMFT707106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty