Provider Demographics
NPI:1962645705
Name:DEANS, JULIANA M (LMHC)
Entity Type:Individual
Prefix:MRS
First Name:JULIANA
Middle Name:M
Last Name:DEANS
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:MISS
Other - First Name:JULIANA
Other - Middle Name:M
Other - Last Name:OLSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1400 E BOULDER ST
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80909-5533
Mailing Address - Country:US
Mailing Address - Phone:719-365-5221
Mailing Address - Fax:
Practice Address - Street 1:2651 S PALM AIRE DR
Practice Address - Street 2:UNIT 102
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33069-4270
Practice Address - Country:US
Practice Address - Phone:561-543-1748
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-09
Last Update Date:2020-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH10024101YM0800X
COLPC.0013319101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLMH10024OtherLICENSED MENTAL HEALTH COUNSELOR