Provider Demographics
NPI:1033824149
Name:BICKERSTAFF, JULIA (MS, LPC)
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:
Last Name:BICKERSTAFF
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 1:3101 W 6TH ST UNIT 470003
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76147-1502
Mailing Address - Country:US
Mailing Address - Phone:817-580-4727
Mailing Address - Fax:817-947-0849
Practice Address - Street 1:2600 MACARTHUR BLVD STE 201
Practice Address - Street 2:
Practice Address - City:LEWISVILLE
Practice Address - State:TX
Practice Address - Zip Code:75067-6748
Practice Address - Country:US
Practice Address - Phone:817-580-4727
Practice Address - Fax:817-947-0849
Is Sole Proprietor?:No
Enumeration Date:2023-01-23
Last Update Date:2025-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX92008101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health