Provider Demographics
NPI:1609001601
Name:BATISTE, BRAD ANTHONY (MSW, GSW)
Entity type:Individual
Prefix:MR
First Name:BRAD
Middle Name:ANTHONY
Last Name:BATISTE
Suffix:
Gender:M
Credentials:MSW, GSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1018
Mailing Address - Street 2:
Mailing Address - City:VACHERIE
Mailing Address - State:LA
Mailing Address - Zip Code:70090-1018
Mailing Address - Country:US
Mailing Address - Phone:225-223-0830
Mailing Address - Fax:
Practice Address - Street 1:41009 TALONWOOD DR
Practice Address - Street 2:
Practice Address - City:GONZALES
Practice Address - State:LA
Practice Address - Zip Code:70737-6943
Practice Address - Country:US
Practice Address - Phone:225-223-0830
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-19
Last Update Date:2020-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA6431101Y00000X, 101YM0800X, 1041S0200X, 171M00000X, 104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool
No171M00000XOther Service ProvidersCase Manager/Care Coordinator