Provider Demographics
NPI:1609581024
Name:JULIE'S COUNSELING; PLLC
Entity Type:Organization
Organization Name:JULIE'S COUNSELING; PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:
Authorized Official - Last Name:ROEDL
Authorized Official - Suffix:
Authorized Official - Credentials:MS; LCPC
Authorized Official - Phone:217-821-2876
Mailing Address - Street 1:1901 S 4TH ST STE 7
Mailing Address - Street 2:
Mailing Address - City:EFFINGHAM
Mailing Address - State:IL
Mailing Address - Zip Code:62401-4162
Mailing Address - Country:US
Mailing Address - Phone:217-821-2876
Mailing Address - Fax:217-708-4311
Practice Address - Street 1:1901 S 4TH ST STE 7
Practice Address - Street 2:
Practice Address - City:EFFINGHAM
Practice Address - State:IL
Practice Address - Zip Code:62401-4162
Practice Address - Country:US
Practice Address - Phone:217-821-2876
Practice Address - Fax:217-708-4311
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-19
Last Update Date:2023-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty