Provider Demographics
NPI:1831424571
Name:CHEN, JULIE A (MENTAL HEALTH COUNSE)
Entity type:Individual
Prefix:MS
First Name:JULIE
Middle Name:A
Last Name:CHEN
Suffix:
Gender:F
Credentials:MENTAL HEALTH COUNSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4700 SHERIDAN ST
Mailing Address - Street 2:SUITE J
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33021-3420
Mailing Address - Country:US
Mailing Address - Phone:954-832-3602
Mailing Address - Fax:954-272-7525
Practice Address - Street 1:4700 SHERIDAN ST
Practice Address - Street 2:SUITE J
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33021-3420
Practice Address - Country:US
Practice Address - Phone:954-832-3602
Practice Address - Fax:954-272-7525
Is Sole Proprietor?:No
Enumeration Date:2009-10-14
Last Update Date:2012-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH 8732101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health