Provider Demographics
NPI:1093866055
Name:OWENS, JULIA VERONICA (LMHC)
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:VERONICA
Last Name:OWENS
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2262 WINDCREST LAKE CIR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32824-5666
Mailing Address - Country:US
Mailing Address - Phone:407-252-0994
Mailing Address - Fax:407-251-8943
Practice Address - Street 1:1101 MIRANDA LN
Practice Address - Street 2:SUITE 131
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34741-0769
Practice Address - Country:US
Practice Address - Phone:407-252-0994
Practice Address - Fax:407-251-8943
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-16
Last Update Date:2016-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH7771101YA0400X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)