Provider Demographics
NPI:1225391394
Name:CARLEY, JULIA (LDN, LMHC)
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:
Last Name:CARLEY
Suffix:
Gender:F
Credentials:LDN, LMHC
Other - Prefix:
Other - First Name:JULIE
Other - Middle Name:
Other - Last Name:CARLEY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LDN, LMHC
Mailing Address - Street 1:499 KENDALL DR
Mailing Address - Street 2:
Mailing Address - City:MARCO ISLAND
Mailing Address - State:FL
Mailing Address - Zip Code:34145-2423
Mailing Address - Country:US
Mailing Address - Phone:239-682-9569
Mailing Address - Fax:239-300-3907
Practice Address - Street 1:830 ANCHOR RODE DR
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34103-2739
Practice Address - Country:US
Practice Address - Phone:239-234-6333
Practice Address - Fax:239-234-6413
Is Sole Proprietor?:No
Enumeration Date:2012-06-22
Last Update Date:2025-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLND4092133V00000X
FLMH9571101YM0800X
FLIMH15202101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL15202OtherFLORIDA BOARD OF MENTAL HEALTH COUNSELING
FL812752744OtherDIETITIAN