Provider Demographics
NPI:1609281278
Name:JULIE POPE DANTZLER COUNSELING SERVICES
Entity Type:Organization
Organization Name:JULIE POPE DANTZLER COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MENTAL HEALTH COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:
Authorized Official - Last Name:POPE
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:863-875-4861
Mailing Address - Street 1:20 3RD ST SW
Mailing Address - Street 2:SUITE 203
Mailing Address - City:WINTER HAVEN
Mailing Address - State:FL
Mailing Address - Zip Code:33880-2905
Mailing Address - Country:US
Mailing Address - Phone:863-875-4861
Mailing Address - Fax:863-875-4891
Practice Address - Street 1:20 3RD ST SW
Practice Address - Street 2:SUITE 203
Practice Address - City:WINTER HAVEN
Practice Address - State:FL
Practice Address - Zip Code:33880-2905
Practice Address - Country:US
Practice Address - Phone:863-875-4861
Practice Address - Fax:863-875-4891
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-23
Last Update Date:2014-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty