Provider Demographics
NPI:1467247494
Name:STROH, JULIANNE MICHELLE REEVES
Entity type:Individual
Prefix:
First Name:JULIANNE
Middle Name:MICHELLE REEVES
Last Name:STROH
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:930 5TH AVE APT 4H
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-2680
Mailing Address - Country:US
Mailing Address - Phone:917-774-6136
Mailing Address - Fax:000-000-0000
Practice Address - Street 1:1058 MORRIS PARK AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461-1478
Practice Address - Country:US
Practice Address - Phone:347-727-4222
Practice Address - Fax:347-727-4223
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-10
Last Update Date:2025-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY103315-011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical