Provider Demographics
NPI:1912649393
Name:LEWIS, JULIE GALLINI (MS, LPC)
Entity Type:Individual
Prefix:MS
First Name:JULIE
Middle Name:GALLINI
Last Name:LEWIS
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1114 BRYCE CANYON DR
Mailing Address - Street 2:
Mailing Address - City:CELINA
Mailing Address - State:TX
Mailing Address - Zip Code:75009-0796
Mailing Address - Country:US
Mailing Address - Phone:972-989-2384
Mailing Address - Fax:
Practice Address - Street 1:1114 BRYCE CANYON DR
Practice Address - Street 2:
Practice Address - City:CELINA
Practice Address - State:TX
Practice Address - Zip Code:75009-0796
Practice Address - Country:US
Practice Address - Phone:972-989-2384
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-07
Last Update Date:2022-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX67085101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional