Provider Demographics
NPI:1831231992
Name:BATSON, CANDICE LEE ANN (BS)
Entity type:Individual
Prefix:MRS
First Name:CANDICE
Middle Name:LEE ANN
Last Name:BATSON
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6614 HARTFORD DR
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38134-6027
Mailing Address - Country:US
Mailing Address - Phone:901-385-6342
Mailing Address - Fax:
Practice Address - Street 1:2890 BEKEMEYER DR
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TN
Practice Address - Zip Code:38002-9522
Practice Address - Country:US
Practice Address - Phone:901-252-7200
Practice Address - Fax:901-252-7280
Is Sole Proprietor?:No
Enumeration Date:2007-02-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health