Provider Demographics
NPI:1639185507
Name:MITCHELL-BATTLES, MERRY SUE (LMSW)
Entity Type:Individual
Prefix:MRS
First Name:MERRY
Middle Name:SUE
Last Name:MITCHELL-BATTLES
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:MRS
Other - First Name:MERRY
Other - Middle Name:SUE
Other - Last Name:BATTLES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:151 S ROSE ST STE 605
Mailing Address - Street 2:
Mailing Address - City:KALAMAZOO
Mailing Address - State:MI
Mailing Address - Zip Code:49007-4716
Mailing Address - Country:US
Mailing Address - Phone:269-492-7246
Mailing Address - Fax:
Practice Address - Street 1:151 S ROSE ST STE 605
Practice Address - Street 2:
Practice Address - City:KALAMAZOO
Practice Address - State:MI
Practice Address - Zip Code:49007-4716
Practice Address - Country:US
Practice Address - Phone:269-492-7246
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2022-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6801086676101YM0800X
1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health