Provider Demographics
NPI:1114266350
Name:GRUBER, JULIE F (LMHC, RN, MS)
Entity Type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:F
Last Name:GRUBER
Suffix:
Gender:F
Credentials:LMHC, RN, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10205 SOUTH DIXIE HIGHWAY
Mailing Address - Street 2:SUITE 202
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33156-3168
Mailing Address - Country:US
Mailing Address - Phone:786-474-4362
Mailing Address - Fax:
Practice Address - Street 1:10205 SOUTH DIXIE HIGHWAY
Practice Address - Street 2:SUITE 202
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33156-3168
Practice Address - Country:US
Practice Address - Phone:786-474-4362
Practice Address - Fax:305-665-3939
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-07
Last Update Date:2013-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH6117101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health