Provider Demographics
NPI:1184440364
Name:VINCENT, JULIE (LPC, NCC, AAT-I)
Entity type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:
Last Name:VINCENT
Suffix:
Gender:F
Credentials:LPC, NCC, AAT-I
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 BERINGER DR
Mailing Address - Street 2:
Mailing Address - City:DUSON
Mailing Address - State:LA
Mailing Address - Zip Code:70529-4244
Mailing Address - Country:US
Mailing Address - Phone:337-296-7357
Mailing Address - Fax:
Practice Address - Street 1:913 ALFRED ST
Practice Address - Street 2:
Practice Address - City:SCOTT
Practice Address - State:LA
Practice Address - Zip Code:70583-5117
Practice Address - Country:US
Practice Address - Phone:337-296-7357
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-03
Last Update Date:2024-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA3559101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health