Provider Demographics
NPI:1629588397
Name:JULIE EMMER LLC
Entity Type:Organization
Organization Name:JULIE EMMER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOTHERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:
Authorized Official - Last Name:EMMER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW LMFT MCAP
Authorized Official - Phone:407-475-1025
Mailing Address - Street 1:2700 WESTHALL LN STE 110
Mailing Address - Street 2:
Mailing Address - City:MAITLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32751-7403
Mailing Address - Country:US
Mailing Address - Phone:407-475-1025
Mailing Address - Fax:407-475-1027
Practice Address - Street 1:2700 WESTHALL LN STE 110
Practice Address - Street 2:
Practice Address - City:MAITLAND
Practice Address - State:FL
Practice Address - Zip Code:32751-7403
Practice Address - Country:US
Practice Address - Phone:407-475-1025
Practice Address - Fax:407-475-1027
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-06
Last Update Date:2017-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health