Provider Demographics
NPI:1952473134
Name:WILLIAMS, JULIE BELLE (MSW LICSW LP LMFT LI)
Entity Type:Individual
Prefix:MS
First Name:JULIE
Middle Name:BELLE
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:MSW LICSW LP LMFT LI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1280 NORTH BIRCH LAKE BLVD
Mailing Address - Street 2:WHITE BEAR LAKE AREA COMMUNITY COUNSELING CENTER
Mailing Address - City:WHITE BEAR LAKE
Mailing Address - State:MN
Mailing Address - Zip Code:55110-6708
Mailing Address - Country:US
Mailing Address - Phone:651-429-8544
Mailing Address - Fax:651-407-5301
Practice Address - Street 1:1280 NORTH BIRCH LAKE BLVD
Practice Address - Street 2:WHITE BEAR LAKE AREA COMMUNITY COUNSELING CENTER
Practice Address - City:WHITE BEAR LAKE
Practice Address - State:MN
Practice Address - Zip Code:55110-6708
Practice Address - Country:US
Practice Address - Phone:651-429-8544
Practice Address - Fax:651-407-5301
Is Sole Proprietor?:No
Enumeration Date:2006-11-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNLP0063103T00000X
MN006341041C0700X
IA003131041C0700X
MN200106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered103T00000XBehavioral Health & Social Service ProvidersPsychologist
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN30129OtherBEHAVIORAL HEALTCARE PROV
MN103006OtherUCARE MINNESOTA
MN29712WIOtherBLUE CROSS BLUE SHIELD