Provider Demographics
NPI:1447540232
Name:BATTLES, LISA RENEE (LMSW)
Entity type:Individual
Prefix:MRS
First Name:LISA
Middle Name:RENEE
Last Name:BATTLES
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:LISA
Other - Middle Name:RENEE
Other - Last Name:NOBLES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:200 QUEENSLAND LN
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:GA
Mailing Address - Zip Code:30016-3101
Mailing Address - Country:US
Mailing Address - Phone:678-658-7863
Mailing Address - Fax:
Practice Address - Street 1:200 QUEENSLAND LANE
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:GA
Practice Address - Zip Code:30016-3101
Practice Address - Country:US
Practice Address - Phone:678-658-7863
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-13
Last Update Date:2011-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIL17650011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical