Provider Demographics
NPI:1497565394
Name:BATIE, CYNTHIA ANN (PCC-S)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:ANN
Last Name:BATIE
Suffix:
Gender:F
Credentials:PCC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2805 STEFAN PL
Mailing Address - Street 2:
Mailing Address - City:BEAVERCREEK
Mailing Address - State:OH
Mailing Address - Zip Code:45431-8494
Mailing Address - Country:US
Mailing Address - Phone:937-626-1732
Mailing Address - Fax:
Practice Address - Street 1:2805 STEFAN PL
Practice Address - Street 2:
Practice Address - City:BEAVERCREEK
Practice Address - State:OH
Practice Address - Zip Code:45431-8494
Practice Address - Country:US
Practice Address - Phone:937-626-1732
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-13
Last Update Date:2025-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE.0900144101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health