Provider Demographics
NPI:1639720253
Name:SURVIVING THE BATTLE, PLLC
Entity Type:Organization
Organization Name:SURVIVING THE BATTLE, PLLC
Other - Org Name:SURVIVING THE BATTLE, PLLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CLINICAL DIRECTOR/ CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MELVIN
Authorized Official - Middle Name:R
Authorized Official - Last Name:BATTLE
Authorized Official - Suffix:
Authorized Official - Credentials:LCMHC
Authorized Official - Phone:678-596-0441
Mailing Address - Street 1:5501 EXECUTIVE CENTER DR STE 243
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28212-8854
Mailing Address - Country:US
Mailing Address - Phone:678-596-0441
Mailing Address - Fax:800-754-8620
Practice Address - Street 1:5501 EXECUTIVE CENTER DR STE 243
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28212-8854
Practice Address - Country:US
Practice Address - Phone:678-596-0441
Practice Address - Fax:800-754-8620
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-25
Last Update Date:2022-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)