Provider Demographics
NPI:1780338509
Name:BATTLEFIELD COUNSELING, LLC
Entity type:Organization
Organization Name:BATTLEFIELD COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:BURCHETTE
Authorized Official - Suffix:
Authorized Official - Credentials:LCMHC-A, LCAS, CRC
Authorized Official - Phone:336-423-6140
Mailing Address - Street 1:914 N ELM ST STE E
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27401-6319
Mailing Address - Country:US
Mailing Address - Phone:336-310-5098
Mailing Address - Fax:
Practice Address - Street 1:326 S EUGENE ST
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27401-2322
Practice Address - Country:US
Practice Address - Phone:336-310-5098
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-10
Last Update Date:2024-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCLCAS-24357Medicaid