Organization Name: | JULIE J. MCKEAN, LMHC, NCC, LLC |
NPI Number: | 1073889572 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JULIE J. MCKEAN (OWNER/MANAGER) |
Mailing Address: | 4929 Van Dyke Road Lutz |
State: | FL US |
Postal Code: | 33558 |
Phone Number: | 8134531151 |
Fax Number: | 8132812474 |
NPI Enumeration Date: | 03/29/2012 |
NPI Last Update Date: | 03/29/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | MH7053 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |