Provider Demographics
NPI:1407042500
Name:BATYKA, BALAZS (LCSW)
Entity type:Individual
Prefix:MR
First Name:BALAZS
Middle Name:
Last Name:BATYKA
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:MR
Other - First Name:BALAZS
Other - Middle Name:
Other - Last Name:BATYKA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LISW
Mailing Address - Street 1:1105 MEMORIAL DR ARTESIA NM 88210
Mailing Address - Street 2:
Mailing Address - City:ARTESIA
Mailing Address - State:NM
Mailing Address - Zip Code:88210
Mailing Address - Country:US
Mailing Address - Phone:505-623-1480
Mailing Address - Fax:505-622-3325
Practice Address - Street 1:1105 MEMORIAL DR
Practice Address - Street 2:
Practice Address - City:ARTESIA
Practice Address - State:NM
Practice Address - Zip Code:88210-1189
Practice Address - Country:US
Practice Address - Phone:505-623-1480
Practice Address - Fax:505-622-3325
Is Sole Proprietor?:No
Enumeration Date:2007-09-21
Last Update Date:2022-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMC-064881041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical