Provider Demographics
NPI:1285765594
Name:ARTINIAN CALLAWAY, JULIE ANNE (LMSW, LPC)
Entity type:Individual
Prefix:MS
First Name:JULIE
Middle Name:ANNE
Last Name:ARTINIAN CALLAWAY
Suffix:
Gender:F
Credentials:LMSW, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 131182
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48113-1182
Mailing Address - Country:US
Mailing Address - Phone:517-442-2777
Mailing Address - Fax:
Practice Address - Street 1:2311 E STADIUM BLVD STE B1
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48104-4803
Practice Address - Country:US
Practice Address - Phone:517-442-2777
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-08
Last Update Date:2022-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401007424101YP2500X
MI68011065951041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional