Provider Demographics
NPI:1013340645
Name:EVANS, JULIANNE TERESA (LCMHC)
Entity Type:Individual
Prefix:
First Name:JULIANNE
Middle Name:TERESA
Last Name:EVANS
Suffix:
Gender:F
Credentials:LCMHC
Other - Prefix:
Other - First Name:JULIANNE
Other - Middle Name:TERESA
Other - Last Name:MIHALICIK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:1675 WIMBERLY RD
Mailing Address - Street 2:
Mailing Address - City:APEX
Mailing Address - State:NC
Mailing Address - Zip Code:27523-6803
Mailing Address - Country:US
Mailing Address - Phone:203-687-3406
Mailing Address - Fax:
Practice Address - Street 1:800 W WILLIAMS ST STE 280
Practice Address - Street 2:
Practice Address - City:APEX
Practice Address - State:NC
Practice Address - Zip Code:27502-5203
Practice Address - Country:US
Practice Address - Phone:919-800-8114
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-19
Last Update Date:2022-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC14289101YP2500X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional