Healthcare Provider Details

I. General information

NPI: 1063346385
Provider Name (Legal Business Name): JULIA BATALLA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/11/2026
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1530 WILSON BLVD STE 520
ARLINGTON VA
22209-2419
US

IV. Provider business mailing address

9508 LIBERTY TREE LN
VIENNA VA
22182-3405
US

V. Phone/Fax

Practice location:
  • Phone: 703-261-4468
  • Fax:
Mailing address:
  • Phone: 630-464-9207
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: