Provider Demographics
NPI:1356646707
Name:WILKES, JULIE GRINSFELDER (LMSW)
Entity Type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:GRINSFELDER
Last Name:WILKES
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:MS
Other - First Name:JULIE
Other - Middle Name:BETH
Other - Last Name:GRINSFELDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW
Mailing Address - Street 1:20915 KINGSLAND BLVD
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450-5548
Mailing Address - Country:US
Mailing Address - Phone:281-579-0703
Mailing Address - Fax:281-398-9719
Practice Address - Street 1:20915 KINGSLAND BLVD
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450-5548
Practice Address - Country:US
Practice Address - Phone:281-579-0703
Practice Address - Fax:281-398-9719
Is Sole Proprietor?:No
Enumeration Date:2011-01-17
Last Update Date:2011-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX534341041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical