Provider Demographics
NPI:1245622588
Name:GARCIA, KATHERINE ANN BATTAGLIA (BA)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:ANN BATTAGLIA
Last Name:GARCIA
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6423 PALMETTO CT
Mailing Address - Street 2:
Mailing Address - City:SAUGATUCK
Mailing Address - State:MI
Mailing Address - Zip Code:49453-9453
Mailing Address - Country:US
Mailing Address - Phone:616-405-2613
Mailing Address - Fax:
Practice Address - Street 1:6423 PALMETTO CT
Practice Address - Street 2:
Practice Address - City:SAUGATUCK
Practice Address - State:MI
Practice Address - Zip Code:49453-9453
Practice Address - Country:US
Practice Address - Phone:616-405-2613
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-24
Last Update Date:2023-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
104100000X
MI171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No104100000XBehavioral Health & Social Service ProvidersSocial Worker