Provider Demographics
NPI:1881857803
Name:EHRHARDT, JULIE M (LMHC, LMSW, CEAP)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:M
Last Name:EHRHARDT
Suffix:
Gender:F
Credentials:LMHC, LMSW, CEAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1029 68TH ST
Mailing Address - Street 2:
Mailing Address - City:WINDSOR HEIGHTS
Mailing Address - State:IA
Mailing Address - Zip Code:50311-1501
Mailing Address - Country:US
Mailing Address - Phone:515-277-7848
Mailing Address - Fax:515-270-6517
Practice Address - Street 1:1029 68TH ST
Practice Address - Street 2:
Practice Address - City:WINDSOR HEIGHTS
Practice Address - State:IA
Practice Address - Zip Code:50311-1501
Practice Address - Country:US
Practice Address - Phone:515-277-7848
Practice Address - Fax:515-270-6517
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-09
Last Update Date:2008-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA90058101YA0400X
IA001041101YM0800X
IA01412104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No104100000XBehavioral Health & Social Service ProvidersSocial Worker