| Julie Harrell, Lcsw Counseling | |
|
1201 W Alto Rd Unit D Kokomo IN 46902-4970 | |
| (765) 450-9901 | |
| Not Available |
| Full Name | Julie Harrell, Lcsw Counseling |
|---|---|
| Speciality | Clinic/Center |
| Location | 1201 W Alto Rd Unit D, Kokomo, Indiana |
| Authorized Official Name and Position | Julie Caldwell Harrell (OWNER/ THERAPIST) |
| Authorized Official Contact | 7654509901 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Julie Harrell, Lcsw Counseling 1201 W Alto Rd Unit D Kokomo IN 46902-4970 Ph: (765) 450-9901 | Julie Harrell, Lcsw Counseling 1201 W Alto Rd Unit D Kokomo IN 46902-4970 Ph: (765) 450-9901 |
| NPI Number | 1043903776 |
|---|---|
| Provider Enumeration Date | 05/30/2023 |
| Last Update Date | 05/30/2023 |
| Certification Date | 05/30/2023 |
| Medicare PECOS PAC ID | 8729449566 |
|---|---|
| Medicare Enrollment ID | O20230726003659 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043903776 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Julie M Caldwell Harrell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003446204 PECOS PAC ID: 9739517004 Enrollment ID: I20200319002262 |
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