Provider Demographics
NPI:1316721509
Name:BATTLE, RICKY L JR
Entity type:Individual
Prefix:
First Name:RICKY
Middle Name:L
Last Name:BATTLE
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4981 BRICE CREEK DR
Mailing Address - Street 2:
Mailing Address - City:CANAL WINCHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:43110-8587
Mailing Address - Country:US
Mailing Address - Phone:614-738-1594
Mailing Address - Fax:
Practice Address - Street 1:4981 BRICE CREEK DR
Practice Address - Street 2:
Practice Address - City:CANAL WINCHESTER
Practice Address - State:OH
Practice Address - Zip Code:43110-8587
Practice Address - Country:US
Practice Address - Phone:614-738-1594
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-21
Last Update Date:2023-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor