Jasmine Jiovanni Battle

Individual provider Active NPI Mental Health Counselor · Del City, OK

NPI 1871936005 · NPPES record last updated Apr 8, 2013

Key facts

NPI
1871936005
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
4337 SE 15TH St
Del City, OK 73115-3001
Phone
(405) 609-1760
Fax
(405) 609-1769
NPI assigned
Apr 8, 2013
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Dynasty Care Services, LLC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Yes

Addresses

Primary practice location

4337 SE 15TH St
Del City, OK 73115-3001

Mailing address

2605 SE 45TH St
Oklahoma City, OK 73129-8705
Phone (405) 308-2668

Other providers in Del City, OK

All providers in Del City, OK · Mental Health Counselor in Oklahoma

Sources for this page

Verify at the official NPI Registry.