Provider Demographics
NPI:1205547890
Name:BATISTA, PATRICIA ALTAGRACIA (LSW)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:ALTAGRACIA
Last Name:BATISTA
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:262 STATE ST
Mailing Address - Street 2:
Mailing Address - City:PERTH AMBOY
Mailing Address - State:NJ
Mailing Address - Zip Code:08861-4348
Mailing Address - Country:US
Mailing Address - Phone:732-442-3535
Mailing Address - Fax:
Practice Address - Street 1:262 STATE ST
Practice Address - Street 2:
Practice Address - City:PERTH AMBOY
Practice Address - State:NJ
Practice Address - Zip Code:08861-4348
Practice Address - Country:US
Practice Address - Phone:732-442-3535
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-06
Last Update Date:2022-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty