Provider Demographics
NPI:1740666452
Name:BATISTE, CIERRA (LPC)
Entity type:Individual
Prefix:
First Name:CIERRA
Middle Name:
Last Name:BATISTE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:CIERRA
Other - Middle Name:
Other - Last Name:NICKSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8500 N STEMMONS FWY STE 3052
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75247-3969
Mailing Address - Country:US
Mailing Address - Phone:901-569-7149
Mailing Address - Fax:
Practice Address - Street 1:8500 N STEMMONS FWY STE 3052
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75247-3969
Practice Address - Country:US
Practice Address - Phone:901-569-7149
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-04
Last Update Date:2024-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX71068101YP2500X, 261QM0801X, 101YM0800X
251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
No251B00000XAgenciesCase Management
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)