Provider Demographics
NPI:1427285790
Name:GORDON-BATTLE, BELINDA M (LCPC)
Entity type:Individual
Prefix:
First Name:BELINDA
Middle Name:M
Last Name:GORDON-BATTLE
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14440 CHERRY LANE CT
Mailing Address - Street 2:SUITE 102
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20707-4946
Mailing Address - Country:US
Mailing Address - Phone:240-472-3486
Mailing Address - Fax:
Practice Address - Street 1:14440 CHERRY LANE CT
Practice Address - Street 2:SUITE 102
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20707-4946
Practice Address - Country:US
Practice Address - Phone:240-472-3486
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-15
Last Update Date:2011-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLGP 3012101YP2500X
MDLC3816101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional