Provider Demographics
NPI:1912236407
Name:OCONNOR, JULIE ALISON (LCSW, PIP)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:ALISON
Last Name:OCONNOR
Suffix:
Gender:F
Credentials:LCSW, PIP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1800 PROVIDENCE PARK STE 250
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35242-8702
Mailing Address - Country:US
Mailing Address - Phone:205-995-1129
Mailing Address - Fax:
Practice Address - Street 1:1800 PROVIDENCE PARK STE 250
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35242-8702
Practice Address - Country:US
Practice Address - Phone:205-995-1129
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-14
Last Update Date:2009-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1929C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical