Provider Demographics
NPI:1831386366
Name:BATIC, MARJORIE V (LMHC)
Entity type:Individual
Prefix:MRS
First Name:MARJORIE
Middle Name:V
Last Name:BATIC
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3200 COLD SPRING RD
Mailing Address - Street 2:LEARNING AND COUNSELING CENTER
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46222-1960
Mailing Address - Country:US
Mailing Address - Phone:317-955-6150
Mailing Address - Fax:317-955-6140
Practice Address - Street 1:3200 COLD SPRING RD
Practice Address - Street 2:LEARNING AND COUNSELING CENTER
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46222-1960
Practice Address - Country:US
Practice Address - Phone:317-955-6150
Practice Address - Fax:317-955-6140
Is Sole Proprietor?:No
Enumeration Date:2007-09-28
Last Update Date:2007-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN39001217A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN39001217AOtherINDIANA PROFESSIONAL