Provider Demographics
NPI:1306049341
Name:JULIE THOMLEY, PSY.D., P.C.
Entity type:Organization
Organization Name:JULIE THOMLEY, PSY.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMLEY
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:770-993-1003
Mailing Address - Street 1:2300 LAKEVIEW PKWY
Mailing Address - Street 2:SUITE 700
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30004-7982
Mailing Address - Country:US
Mailing Address - Phone:770-993-1003
Mailing Address - Fax:678-916-3889
Practice Address - Street 1:2300 LAKEVIEW PKWY
Practice Address - Street 2:SUITE 700
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30004-7982
Practice Address - Country:US
Practice Address - Phone:770-993-1003
Practice Address - Fax:678-916-3889
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-07
Last Update Date:2008-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA1486251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
GANPP000Medicare UPIN
GA68BBFFQMedicare ID - Type UnspecifiedMEDICARE NUMBER