Provider Demographics
NPI:1205831609
Name:SINGLETARY, JULIET A (MA, LPC)
Entity type:Individual
Prefix:
First Name:JULIET
Middle Name:A
Last Name:SINGLETARY
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:JULIET
Other - Middle Name:A
Other - Last Name:STROUD-PRICE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, LPC
Mailing Address - Street 1:4530 S BERKELEY LAKE RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:BERKELEY LAKE
Mailing Address - State:GA
Mailing Address - Zip Code:30071-1660
Mailing Address - Country:US
Mailing Address - Phone:678-336-6797
Mailing Address - Fax:770-446-5643
Practice Address - Street 1:4530 S BERKELEY LAKE RD
Practice Address - Street 2:SUITE B
Practice Address - City:BERKELEY LAKE
Practice Address - State:GA
Practice Address - Zip Code:30071-1660
Practice Address - Country:US
Practice Address - Phone:678-336-6797
Practice Address - Fax:770-446-5643
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-14
Last Update Date:2015-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3566101YM0800X
GA008045101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA003154725AMedicaid
NC6102241Medicaid
NC2202806OtherCIGNA
NC346038OtherMANAGED HEALTH NETWORK
NC7690675OtherAETNA
NC137H0OtherBCBS