Provider Demographics
NPI:1295071462
Name:BATTISTA, COURTNEY E (LPC LCADC ACS)
Entity type:Individual
Prefix:
First Name:COURTNEY
Middle Name:E
Last Name:BATTISTA
Suffix:
Gender:F
Credentials:LPC LCADC ACS
Other - Prefix:
Other - First Name:COURTNEY
Other - Middle Name:E
Other - Last Name:GREGORY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:1 W CLIFF ST
Mailing Address - Street 2:FIRST FLOOR
Mailing Address - City:SOMERVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08876-1901
Mailing Address - Country:US
Mailing Address - Phone:908-399-9024
Mailing Address - Fax:
Practice Address - Street 1:1 W CLIFF ST
Practice Address - Street 2:FIRST FLOOR
Practice Address - City:SOMERVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08876-1901
Practice Address - Country:US
Practice Address - Phone:908-399-9024
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-17
Last Update Date:2017-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00464400101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health