Provider Demographics
NPI:1881893204
Name:SAYRE, JULIA BAILEY (MS, LMFT)
Entity type:Individual
Prefix:MS
First Name:JULIA
Middle Name:BAILEY
Last Name:SAYRE
Suffix:
Gender:F
Credentials:MS, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:247 DATAW DR
Mailing Address - Street 2:
Mailing Address - City:SAINT HELENA ISLAND
Mailing Address - State:SC
Mailing Address - Zip Code:29920-3810
Mailing Address - Country:US
Mailing Address - Phone:843-271-4771
Mailing Address - Fax:
Practice Address - Street 1:2015 BOUNDARY ST
Practice Address - Street 2:SUITE 229
Practice Address - City:BEAUFORT
Practice Address - State:SC
Practice Address - Zip Code:29902-6802
Practice Address - Country:US
Practice Address - Phone:843-271-4771
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-16
Last Update Date:2015-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0717001139106H00000X
SC4579106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist