Provider Demographics
NPI:1194695171
Name:BATTLE, GEBERTA RONEVA
Entity type:Individual
Prefix:MISS
First Name:GEBERTA
Middle Name:RONEVA
Last Name:BATTLE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1627 BEDFORD RD
Mailing Address - Street 2:
Mailing Address - City:ROCKY MOUNT
Mailing Address - State:NC
Mailing Address - Zip Code:27801-6214
Mailing Address - Country:US
Mailing Address - Phone:252-977-7715
Mailing Address - Fax:
Practice Address - Street 1:1124 CRESCENT MEADOWS DR APT B
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:NC
Practice Address - Zip Code:27856-7710
Practice Address - Country:US
Practice Address - Phone:919-964-1291
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-11-06
Last Update Date:2025-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty