Provider Demographics
NPI:1689166845
Name:BATISTA, CHELSEA (MA, LPC, NCC)
Entity Type:Individual
Prefix:
First Name:CHELSEA
Middle Name:
Last Name:BATISTA
Suffix:
Gender:F
Credentials:MA, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29 CLYDE RD STE 201
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:NJ
Mailing Address - Zip Code:08873-5040
Mailing Address - Country:US
Mailing Address - Phone:908-356-5625
Mailing Address - Fax:
Practice Address - Street 1:29 CLYDE RD STE 201
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:NJ
Practice Address - Zip Code:08873-5040
Practice Address - Country:US
Practice Address - Phone:908-356-5625
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-04
Last Update Date:2020-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional