Provider Demographics
NPI:1275649493
Name:STEPHENS, JULIE CREEL (LICSW)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:CREEL
Last Name:STEPHENS
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3325 TRIANA BLVD SW STE 201
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35805-4643
Mailing Address - Country:US
Mailing Address - Phone:256-505-1391
Mailing Address - Fax:
Practice Address - Street 1:3325 TRIANA BLVD SW STE 201
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35805-4643
Practice Address - Country:US
Practice Address - Phone:256-954-5256
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-21
Last Update Date:2025-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL6479C1041C0700X
AL3316B101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51525845OtherBCBS