Provider Demographics
NPI:1114794195
Name:JULIA B. SAYRE, LMFT, LLC
Entity Type:Organization
Organization Name:JULIA B. SAYRE, LMFT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:JULIA
Authorized Official - Middle Name:BAILEY
Authorized Official - Last Name:SAYRE
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:843-271-4771
Mailing Address - Street 1:129 NUTHATCH DR
Mailing Address - Street 2:
Mailing Address - City:LAKE FREDERICK
Mailing Address - State:VA
Mailing Address - Zip Code:22630-2273
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:129 NUTHATCH DR
Practice Address - Street 2:
Practice Address - City:LAKE FREDERICK
Practice Address - State:VA
Practice Address - Zip Code:22630-2273
Practice Address - Country:US
Practice Address - Phone:843-271-4771
Practice Address - Fax:877-277-1863
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-08
Last Update Date:2023-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty