| Doctor Name: | MS. JULIE ERICA PHELPS |
| NPI Number: | 1053732313 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPCC |
| License Number: | LPCPCC00223777 |
| Business Practice Address: | 910 Columbia Ave Ste B Glasgow, KY - 421413336 |
| Business Phone Number: | 2706296373 |
| Business Fax Number: | 2706296373 |
| Mailing Address: | 910 Columbia Ave Ste B, GLASGOW |
| State: | KY |
| Postal Code: | 421413336 |
| Phone Number: | 2706296373 |
| Fax Number: | 2706296373 |
| NPI Enumeration Date: | 01/03/2014 |
| NPI Last Update Date: | 12/28/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | LPCPCC00223777 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |