Healthcare Provider Details

I. General information

NPI: 1417885948
Provider Name (Legal Business Name): JULIA ELIZABETH BONDI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/13/2026
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3601 CHAMBERLAYNE AVE
RICHMOND VA
23227-4518
US

IV. Provider business mailing address

3601 CHAMBERLAYNE AVE
RICHMOND VA
23227-4518
US

V. Phone/Fax

Practice location:
  • Phone: 804-277-9122
  • Fax:
Mailing address:
  • Phone: 804-277-9122
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number0704019118
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: