Provider Demographics
NPI:1730598236
Name:JANELLE BATTA, LLC
Entity type:Organization
Organization Name:JANELLE BATTA, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JANELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:BATTA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:812-212-1237
Mailing Address - Street 1:920 W KATHYS WAY
Mailing Address - Street 2:SUITE C
Mailing Address - City:GREENSBURG
Mailing Address - State:IN
Mailing Address - Zip Code:47240-3412
Mailing Address - Country:US
Mailing Address - Phone:812-222-2626
Mailing Address - Fax:
Practice Address - Street 1:920 W KATHYS WAY
Practice Address - Street 2:SUITE C
Practice Address - City:GREENSBURG
Practice Address - State:IN
Practice Address - Zip Code:47240-3412
Practice Address - Country:US
Practice Address - Phone:812-222-2626
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-08
Last Update Date:2014-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN87000007A251S00000X
OHI.0005903251S00000X
IN34003351A251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health