Provider Demographics
NPI:1326668088
Name:RHEA, JULIA GATES (LPC-MHSP)
Entity Type:Individual
Prefix:MRS
First Name:JULIA
Middle Name:GATES
Last Name:RHEA
Suffix:
Gender:F
Credentials:LPC-MHSP
Other - Prefix:MS
Other - First Name:JULIA
Other - Middle Name:HOWARD
Other - Last Name:GATES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3474 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38111-4406
Mailing Address - Country:US
Mailing Address - Phone:901-606-2206
Mailing Address - Fax:
Practice Address - Street 1:2198 JUDICIAL DR
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:TN
Practice Address - Zip Code:38138-3825
Practice Address - Country:US
Practice Address - Phone:901-682-6136
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-23
Last Update Date:2021-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN3975101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health