Provider Demographics
NPI:1649960923
Name:PASSARELLI, JULIA MARIE (LMHC-LP)
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:MARIE
Last Name:PASSARELLI
Suffix:
Gender:F
Credentials:LMHC-LP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:186 CONSELYEA ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11211-2408
Mailing Address - Country:US
Mailing Address - Phone:917-474-0843
Mailing Address - Fax:
Practice Address - Street 1:186 CONSELYEA ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11211-2408
Practice Address - Country:US
Practice Address - Phone:917-474-0843
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-10
Last Update Date:2023-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1063971760OtherANTHEM BLUE CROSS BLUE SHIELD
NY1023756970OtherCIGNA
NY1023756970OtherUNTIED
NY1023756970OtherAETNA
NY1023756970OtherBEACON
NY1023756970OtherANTHEM BLUE CROSS BLUE SHIELD