Provider Demographics
NPI:1235652991
Name:WEST, JULIET S (LCSW, ACHP-SW)
Entity Type:Individual
Prefix:MRS
First Name:JULIET
Middle Name:S
Last Name:WEST
Suffix:
Gender:F
Credentials:LCSW, ACHP-SW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11801 STERLING PANORAMA TER
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78738-5017
Mailing Address - Country:US
Mailing Address - Phone:954-383-2183
Mailing Address - Fax:
Practice Address - Street 1:11701 BEE CAVES RD
Practice Address - Street 2:
Practice Address - City:BEE CAVE
Practice Address - State:TX
Practice Address - Zip Code:78738-5557
Practice Address - Country:US
Practice Address - Phone:512-596-2929
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-24
Last Update Date:2017-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX552851041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical