Provider Demographics
NPI:1417665357
Name:DELAFIELD, JULIE KENDALL (LPC, LMFT ASSOCIATE)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:KENDALL
Last Name:DELAFIELD
Suffix:
Gender:F
Credentials:LPC, LMFT ASSOCIATE
Other - Prefix:
Other - First Name:JULIE
Other - Middle Name:KENDALL
Other - Last Name:LAW
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6021 BRIDGECREEK WAY
Mailing Address - Street 2:
Mailing Address - City:WESTWORTH VILLAGE
Mailing Address - State:TX
Mailing Address - Zip Code:76114-3538
Mailing Address - Country:US
Mailing Address - Phone:512-413-6322
Mailing Address - Fax:
Practice Address - Street 1:1701 RIVER RUN STE 1118
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76107-6557
Practice Address - Country:US
Practice Address - Phone:972-221-7900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-09
Last Update Date:2022-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX81910101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health