Provider Demographics
NPI:1174221386
Name:SARA BATTISTA PSYCHOTHERAPY, LLC
Entity type:Organization
Organization Name:SARA BATTISTA PSYCHOTHERAPY, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SARA
Authorized Official - Middle Name:
Authorized Official - Last Name:BATTISTA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-775-3201
Mailing Address - Street 1:1519 CONNECTICUT AVE NW STE 301
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20036-1116
Mailing Address - Country:US
Mailing Address - Phone:202-644-9227
Mailing Address - Fax:
Practice Address - Street 1:1519 CONNECTICUT AVE NW STE 301
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20036-1116
Practice Address - Country:US
Practice Address - Phone:202-644-9227
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-16
Last Update Date:2024-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)