Provider Demographics
NPI:1710390059
Name:BATTS, CATINA MONIQUE
Entity Type:Individual
Prefix:MRS
First Name:CATINA
Middle Name:MONIQUE
Last Name:BATTS
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:CATINA
Other - Middle Name:MONIQUE
Other - Last Name:SAWYER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2421 E 87TH ST APT 261
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74137-2453
Mailing Address - Country:US
Mailing Address - Phone:318-332-1888
Mailing Address - Fax:
Practice Address - Street 1:2001 S GARNETT RD STE G
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74128-1838
Practice Address - Country:US
Practice Address - Phone:318-332-1888
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-04
Last Update Date:2016-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK101Y00000X
OK305742171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor