Provider Demographics
NPI:1033086301
Name:JULIE CHRISTINA LLC
Entity type:Organization
Organization Name:JULIE CHRISTINA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:
Authorized Official - Last Name:ROTH
Authorized Official - Suffix:
Authorized Official - Credentials:LICSQ
Authorized Official - Phone:507-990-4244
Mailing Address - Street 1:3269 19TH ST NW # 160
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55901-7052
Mailing Address - Country:US
Mailing Address - Phone:507-990-4244
Mailing Address - Fax:
Practice Address - Street 1:3269 19TH ST NW # 160
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55901-7052
Practice Address - Country:US
Practice Address - Phone:507-990-4244
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-21
Last Update Date:2025-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty