Provider Demographics
NPI:1285243816
Name:BATTLES, TODD (LMHC)
Entity type:Individual
Prefix:
First Name:TODD
Middle Name:
Last Name:BATTLES
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17595 S TAMIAMI TRL STE 210
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33908-4889
Mailing Address - Country:US
Mailing Address - Phone:239-310-2110
Mailing Address - Fax:239-310-2111
Practice Address - Street 1:17595 S TAMIAMI TRL STE 265C
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33908-4884
Practice Address - Country:US
Practice Address - Phone:239-310-2110
Practice Address - Fax:239-310-2111
Is Sole Proprietor?:No
Enumeration Date:2020-07-29
Last Update Date:2022-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH17609101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health