Provider Demographics
NPI:1457704223
Name:LEE ANN BATT, MS, LSCSW, LLC
Entity type:Organization
Organization Name:LEE ANN BATT, MS, LSCSW, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LEE ANN
Authorized Official - Middle Name:
Authorized Official - Last Name:BATT CAMPBELL
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LSCSW
Authorized Official - Phone:316-789-6368
Mailing Address - Street 1:10808 W SHADE LN
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67212-5913
Mailing Address - Country:US
Mailing Address - Phone:316-249-3226
Mailing Address - Fax:316-789-6349
Practice Address - Street 1:2548 N MAIZE CT
Practice Address - Street 2:SUITE 102
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67205-7347
Practice Address - Country:US
Practice Address - Phone:316-789-6368
Practice Address - Fax:316-789-6349
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-18
Last Update Date:2016-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS4447104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty