Provider Demographics
NPI:1346679925
Name:GINEL, JULIO ANTONIO (LMHC, LPC)
Entity Type:Individual
Prefix:
First Name:JULIO
Middle Name:ANTONIO
Last Name:GINEL
Suffix:
Gender:M
Credentials:LMHC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3892 OLD DOERUN RD
Mailing Address - Street 2:
Mailing Address - City:MOULTRIE
Mailing Address - State:GA
Mailing Address - Zip Code:31768-2464
Mailing Address - Country:US
Mailing Address - Phone:646-683-9210
Mailing Address - Fax:347-529-4186
Practice Address - Street 1:3892 OLD DOERUN RD
Practice Address - Street 2:
Practice Address - City:MOULTRIE
Practice Address - State:GA
Practice Address - Zip Code:31768-2464
Practice Address - Country:US
Practice Address - Phone:833-446-3572
Practice Address - Fax:844-889-5507
Is Sole Proprietor?:No
Enumeration Date:2013-11-05
Last Update Date:2022-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006574101YM0800X
GALPC010127101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health