Healthcare Provider Details

I. General information

NPI: 1649191693
Provider Name (Legal Business Name): JULIA BATTY LCPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/24/2026
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

32 COLLEGE AVE STE 206
WATERVILLE ME
04901-6100
US

IV. Provider business mailing address

15 PLUMMER CT
GARDINER ME
04345-2531
US

V. Phone/Fax

Practice location:
  • Phone: 207-680-2065
  • Fax:
Mailing address:
  • Phone: 207-390-0091
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberXLG8836
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: