Provider Demographics
NPI:1063747590
Name:BATTLE ENTERPRISE, INC
Entity type:Organization
Organization Name:BATTLE ENTERPRISE, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:BARRETT
Authorized Official - Middle Name:
Authorized Official - Last Name:BATTLE
Authorized Official - Suffix:
Authorized Official - Credentials:LADAC
Authorized Official - Phone:615-444-0814
Mailing Address - Street 1:1221 S HARTMANN DR
Mailing Address - Street 2:SUITE D
Mailing Address - City:LEBANON
Mailing Address - State:TN
Mailing Address - Zip Code:37090-4110
Mailing Address - Country:US
Mailing Address - Phone:615-444-0814
Mailing Address - Fax:615-444-0824
Practice Address - Street 1:1221 S HARTMANN DR
Practice Address - Street 2:SUITE D
Practice Address - City:LEBANON
Practice Address - State:TN
Practice Address - Zip Code:37090-4110
Practice Address - Country:US
Practice Address - Phone:615-444-0814
Practice Address - Fax:615-444-0824
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-16
Last Update Date:2009-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1000000005463101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty