Provider Demographics
NPI:1831602283
Name:KNIGHT-CAMPBELL, JULI-ANN TAMARIA (LMHC)
Entity type:Individual
Prefix:
First Name:JULI-ANN
Middle Name:TAMARIA
Last Name:KNIGHT-CAMPBELL
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4140 BEAR LAKES CT APT 201
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33409-7780
Mailing Address - Country:US
Mailing Address - Phone:954-588-4934
Mailing Address - Fax:
Practice Address - Street 1:4384 PURDY LN
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33406-7562
Practice Address - Country:US
Practice Address - Phone:561-720-2146
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-08
Last Update Date:2017-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
FLMH15094101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health