Provider Demographics
NPI:1902225980
Name:BATSON, LLC
Entity Type:Organization
Organization Name:BATSON, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MURCHELLE
Authorized Official - Middle Name:TINA
Authorized Official - Last Name:JACKSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-478-9895
Mailing Address - Street 1:9409 ARCADIA WOODS CT
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89149-1619
Mailing Address - Country:US
Mailing Address - Phone:702-478-9895
Mailing Address - Fax:
Practice Address - Street 1:9409 ARCADIA WOODS CT
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89149-1619
Practice Address - Country:US
Practice Address - Phone:702-478-9895
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-07
Last Update Date:2014-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health