Provider Demographics
NPI:1073113395
Name:JULIE TRANA COUNSELING LLC
Entity Type:Organization
Organization Name:JULIE TRANA COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:
Authorized Official - Last Name:TRANA
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:208-917-3739
Mailing Address - Street 1:PO BOX 933
Mailing Address - Street 2:
Mailing Address - City:KUNA
Mailing Address - State:ID
Mailing Address - Zip Code:83634-0900
Mailing Address - Country:US
Mailing Address - Phone:208-917-3739
Mailing Address - Fax:
Practice Address - Street 1:693 E WYTHE CREEK CT
Practice Address - Street 2:
Practice Address - City:KUNA
Practice Address - State:ID
Practice Address - Zip Code:83634-5273
Practice Address - Country:US
Practice Address - Phone:208-917-3739
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-27
Last Update Date:2020-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health