Provider Demographics
NPI:1598301830
Name:BATTLE, VALENCIA J (MSW, LLMSW)
Entity Type:Individual
Prefix:
First Name:VALENCIA
Middle Name:J
Last Name:BATTLE
Suffix:
Gender:F
Credentials:MSW, LLMSW
Other - Prefix:
Other - First Name:VALENCIA
Other - Middle Name:J
Other - Last Name:BATTLE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSW, LLMSW
Mailing Address - Street 1:2222 S LINDEN RD STE J
Mailing Address - Street 2:
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48532-5413
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2222 S LINDEN RD STE J
Practice Address - Street 2:
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48532-5413
Practice Address - Country:US
Practice Address - Phone:810-732-0560
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-21
Last Update Date:2019-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6801105275104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker