Provider Demographics
NPI:1497218952
Name:JULIE FLOHR, LLC
Entity Type:Organization
Organization Name:JULIE FLOHR, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:
Authorized Official - Last Name:FLOHR
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:260-385-4822
Mailing Address - Street 1:128 N RANDOLPH ST
Mailing Address - Street 2:
Mailing Address - City:GARRETT
Mailing Address - State:IN
Mailing Address - Zip Code:46738-1138
Mailing Address - Country:US
Mailing Address - Phone:260-385-4822
Mailing Address - Fax:
Practice Address - Street 1:6334 CONSTITUTION DR
Practice Address - Street 2:
Practice Address - City:FORT WAYNE
Practice Address - State:IN
Practice Address - Zip Code:46804-1518
Practice Address - Country:US
Practice Address - Phone:260-385-4822
Practice Address - Fax:260-993-0130
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-11
Last Update Date:2019-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health