Provider Demographics
NPI:1477726750
Name:MOONEY, JULIE KENT (LCSWA)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:KENT
Last Name:MOONEY
Suffix:
Gender:F
Credentials:LCSWA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:204 CHESTWOOD DR
Mailing Address - Street 2:
Mailing Address - City:HUBERT
Mailing Address - State:NC
Mailing Address - Zip Code:28539-0019
Mailing Address - Country:US
Mailing Address - Phone:540-493-8817
Mailing Address - Fax:
Practice Address - Street 1:204 CHESTWOOD DR
Practice Address - Street 2:
Practice Address - City:HUBERT
Practice Address - State:NC
Practice Address - Zip Code:28539-0019
Practice Address - Country:US
Practice Address - Phone:540-493-8817
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-08
Last Update Date:2024-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0176111041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical