Provider Demographics
NPI:1770839193
Name:BATARSE, PRISCILLA STEPHANIE (MS, LMFT)
Entity type:Individual
Prefix:
First Name:PRISCILLA
Middle Name:STEPHANIE
Last Name:BATARSE
Suffix:
Gender:F
Credentials:MS, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 6517
Mailing Address - Street 2:
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93006-6517
Mailing Address - Country:US
Mailing Address - Phone:805-616-1450
Mailing Address - Fax:805-666-3230
Practice Address - Street 1:784 S CLEARWATER LOOP STE B
Practice Address - Street 2:
Practice Address - City:POST FALLS
Practice Address - State:ID
Practice Address - Zip Code:83854-9599
Practice Address - Country:US
Practice Address - Phone:805-616-1450
Practice Address - Fax:805-666-3230
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-03
Last Update Date:2025-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA93755106H00000X
ID8604106H00000X
MT72958106H00000X
AZ16237106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist