Provider Demographics
NPI:1265192041
Name:DEENA D BATY LMSW
Entity type:Organization
Organization Name:DEENA D BATY LMSW
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CORPORATE HEAD
Authorized Official - Prefix:
Authorized Official - First Name:DEENA
Authorized Official - Middle Name:D
Authorized Official - Last Name:BATY
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:734-219-8380
Mailing Address - Street 1:1231 CLARITA ST
Mailing Address - Street 2:
Mailing Address - City:YPSILANTI
Mailing Address - State:MI
Mailing Address - Zip Code:48198-6419
Mailing Address - Country:US
Mailing Address - Phone:734-219-8380
Mailing Address - Fax:
Practice Address - Street 1:588 PINEWOOD ST
Practice Address - Street 2:
Practice Address - City:YPSILANTI
Practice Address - State:MI
Practice Address - Zip Code:48198-6108
Practice Address - Country:US
Practice Address - Phone:734-219-8380
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-21
Last Update Date:2021-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1614298OtherBLUE CROSS BLUE SHIELD