Provider Demographics
NPI:1982897575
Name:FEILER, JULIE A (LPC, NBCC, CCMHC)
Entity Type:Individual
Prefix:MS
First Name:JULIE
Middle Name:A
Last Name:FEILER
Suffix:
Gender:F
Credentials:LPC, NBCC, CCMHC
Other - Prefix:
Other - First Name:THE
Other - Middle Name:MAIN
Other - Last Name:TALE LLC
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:855 7 MILE RD
Mailing Address - Street 2:
Mailing Address - City:CASPER
Mailing Address - State:WY
Mailing Address - Zip Code:82604-1711
Mailing Address - Country:US
Mailing Address - Phone:307-262-4688
Mailing Address - Fax:
Practice Address - Street 1:855 7 MILE RD
Practice Address - Street 2:
Practice Address - City:CASPER
Practice Address - State:WY
Practice Address - Zip Code:82604-1711
Practice Address - Country:US
Practice Address - Phone:307-262-4688
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-27
Last Update Date:2012-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171M00000X
WY308101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No171M00000XOther Service ProvidersCase Manager/Care Coordinator