Provider Demographics
NPI:1336580844
Name:WESLEY, JULIA MICHELLE (MS, LMFT)
Entity Type:Individual
Prefix:MS
First Name:JULIA
Middle Name:MICHELLE
Last Name:WESLEY
Suffix:
Gender:F
Credentials:MS, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2401 W SPRING CREEK PKWY
Mailing Address - Street 2:APT 1003
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75023-4185
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:15305 DALLAS PKWY
Practice Address - Street 2:#300
Practice Address - City:ADDISON
Practice Address - State:TX
Practice Address - Zip Code:75001-4637
Practice Address - Country:US
Practice Address - Phone:972-387-7480
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-12
Last Update Date:2013-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX201593106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist