Doctor Name: | JULIE HENDERSON SHEPHERD |
NPI Number: | 1336294065 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMSW |
License Number: | MSW004128 |
Business Practice Address: | 776 Windsor Pkwy Ne Atlanta, GA - 303422849 |
Business Phone Number: | 4043037247 |
Business Fax Number: | 4043037837 |
Mailing Address: | 1304a N Morningside Dr Ne, ATLANTA |
State: | GA |
Postal Code: | 303063368 |
Phone Number: | 4048757678 |
Fax Number: | |
NPI Enumeration Date: | 01/24/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | MSW004128 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |