Provider Demographics
NPI:1710853593
Name:AWREY, JULIANA GRACE
Entity type:Individual
Prefix:
First Name:JULIANA
Middle Name:GRACE
Last Name:AWREY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11856 E SHORE DR
Mailing Address - Street 2:
Mailing Address - City:WHITMORE LAKE
Mailing Address - State:MI
Mailing Address - Zip Code:48189-9104
Mailing Address - Country:US
Mailing Address - Phone:810-355-6928
Mailing Address - Fax:
Practice Address - Street 1:11856 E SHORE DR
Practice Address - Street 2:
Practice Address - City:WHITMORE LAKE
Practice Address - State:MI
Practice Address - Zip Code:48189-9104
Practice Address - Country:US
Practice Address - Phone:810-355-6928
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-16
Last Update Date:2025-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Single Specialty