Provider Demographics
NPI:1750148490
Name:TOLBERT, JULIET (LBSW)
Entity type:Individual
Prefix:
First Name:JULIET
Middle Name:
Last Name:TOLBERT
Suffix:
Gender:F
Credentials:LBSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 10912
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35202-0912
Mailing Address - Country:US
Mailing Address - Phone:205-601-5410
Mailing Address - Fax:
Practice Address - Street 1:1104 GOLDWIRE ST SW
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35211-3925
Practice Address - Country:US
Practice Address - Phone:205-601-5410
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-29
Last Update Date:2024-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker