Provider Demographics
NPI:1801215074
Name:SANDHAUS, JULIA (LPC)
Entity Type:Individual
Prefix:MRS
First Name:JULIA
Middle Name:
Last Name:SANDHAUS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:71 ACADIAN CIR
Mailing Address - Street 2:
Mailing Address - City:HATTIESBURG
Mailing Address - State:MS
Mailing Address - Zip Code:39402-7928
Mailing Address - Country:US
Mailing Address - Phone:601-297-0900
Mailing Address - Fax:
Practice Address - Street 1:71 ACADIAN CIR
Practice Address - Street 2:
Practice Address - City:HATTIESBURG
Practice Address - State:MS
Practice Address - Zip Code:39402-7928
Practice Address - Country:US
Practice Address - Phone:601-297-0900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-15
Last Update Date:2014-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS1648101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional