Provider Demographics
NPI:1215277827
Name:MOBIGLIA, JULIA LYNN
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:LYNN
Last Name:MOBIGLIA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:367B N PARKWAY STE 1
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:TN
Mailing Address - Zip Code:38305-2899
Mailing Address - Country:US
Mailing Address - Phone:316-682-2777
Mailing Address - Fax:316-600-5107
Practice Address - Street 1:367B N PARKWAY STE 1
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:TN
Practice Address - Zip Code:38305-2899
Practice Address - Country:US
Practice Address - Phone:316-682-2777
Practice Address - Fax:316-600-5107
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-19
Last Update Date:2023-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health