| Doctor Name: | JULIE BAINES |
| NPI Number: | 1003292400 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC, LCDC |
| License Number: | 70266 |
| Business Practice Address: | 4702 Rowlett Rd Suite 101 Rowlett, TX - 750881703 |
| Business Phone Number: | 9729962242 |
| Business Fax Number: | 9729962245 |
| Mailing Address: | Po Box 299, ROWLETT |
| State: | TX |
| Postal Code: | 750300299 |
| Phone Number: | 9729962242 |
| Fax Number: | 9729962245 |
| NPI Enumeration Date: | 08/07/2015 |
| NPI Last Update Date: | 08/07/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 70266 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |