Provider Demographics
NPI:1083324412
Name:FLORENTIN, JULIE (PMHNP DNP STUDENT)
Entity Type:Individual
Prefix:MISS
First Name:JULIE
Middle Name:
Last Name:FLORENTIN
Suffix:
Gender:F
Credentials:PMHNP DNP STUDENT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:74 WATERHAVEN WAY
Mailing Address - Street 2:
Mailing Address - City:SPRINGBORO
Mailing Address - State:OH
Mailing Address - Zip Code:45066-7533
Mailing Address - Country:US
Mailing Address - Phone:703-593-7145
Mailing Address - Fax:
Practice Address - Street 1:312 SHARON CT
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:OH
Practice Address - Zip Code:45042-4947
Practice Address - Country:US
Practice Address - Phone:513-783-1688
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-28
Last Update Date:2022-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health