Provider Demographics
NPI:1720761281
Name:THOMPSON-ALBERT, JULIE ANN (DOULA)
Entity Type:Individual
Prefix:MS
First Name:JULIE
Middle Name:ANN
Last Name:THOMPSON-ALBERT
Suffix:
Gender:F
Credentials:DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:317 GIBBY LN
Mailing Address - Street 2:
Mailing Address - City:SIMPSONVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29681-3876
Mailing Address - Country:US
Mailing Address - Phone:864-915-6696
Mailing Address - Fax:
Practice Address - Street 1:317 GIBBY LN
Practice Address - Street 2:
Practice Address - City:SIMPSONVILLE
Practice Address - State:SC
Practice Address - Zip Code:29681-3876
Practice Address - Country:US
Practice Address - Phone:864-915-6696
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-10
Last Update Date:2023-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103K00000X
SC374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst