Provider Demographics
NPI:1669519815
Name:CLEMENTS, JULIE JULIE (LPC)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:JULIE
Last Name:CLEMENTS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1109 EIGHTH ST.,
Mailing Address - Street 2:STE 4
Mailing Address - City:MORGAN CITY
Mailing Address - State:LA
Mailing Address - Zip Code:70380
Mailing Address - Country:US
Mailing Address - Phone:985-519-7057
Mailing Address - Fax:985-313-1012
Practice Address - Street 1:1109 EIGHTH ST.,
Practice Address - Street 2:STE 4
Practice Address - City:MORGAN CITY
Practice Address - State:LA
Practice Address - Zip Code:70380
Practice Address - Country:US
Practice Address - Phone:985-519-7057
Practice Address - Fax:985-313-1012
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-30
Last Update Date:2024-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA2276101YP2500X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional