Provider Demographics
NPI:1508499401
Name:JULIA JONES, LPC, PLLC
Entity Type:Organization
Organization Name:JULIA JONES, LPC, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:JULIA
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:405-850-3455
Mailing Address - Street 1:3336 MOUNT MITCHELL LN
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73069-3110
Mailing Address - Country:US
Mailing Address - Phone:405-850-3455
Mailing Address - Fax:
Practice Address - Street 1:123 E TONHAWA ST STE 100
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73069-7255
Practice Address - Country:US
Practice Address - Phone:405-850-3455
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-19
Last Update Date:2022-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200293920AMedicaid
1508499401OtherGROUP NPI