Provider Demographics
NPI:1023714896
Name:BAULWIN, BRIANA JULIA
Entity type:Individual
Prefix:
First Name:BRIANA
Middle Name:JULIA
Last Name:BAULWIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1012 E SILVER SPRINGS BLVD STE B7-8
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34470-6781
Mailing Address - Country:US
Mailing Address - Phone:352-362-4078
Mailing Address - Fax:844-444-1046
Practice Address - Street 1:1012 E SILVER SPRINGS BLVD STE B7-8
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34470-6781
Practice Address - Country:US
Practice Address - Phone:352-362-4078
Practice Address - Fax:844-444-1046
Is Sole Proprietor?:No
Enumeration Date:2023-02-03
Last Update Date:2023-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist