Provider Demographics
NPI:1316251200
Name:STRONG, JULIE ANN (LLP, CAADC)
Entity type:Individual
Prefix:MISS
First Name:JULIE
Middle Name:ANN
Last Name:STRONG
Suffix:
Gender:F
Credentials:LLP, CAADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:801 HAZEN ST
Mailing Address - Street 2:
Mailing Address - City:PAW PAW
Mailing Address - State:MI
Mailing Address - Zip Code:49079-2008
Mailing Address - Country:US
Mailing Address - Phone:269-655-3394
Mailing Address - Fax:269-655-1557
Practice Address - Street 1:801 HAZEN ST
Practice Address - Street 2:
Practice Address - City:PAW PAW
Practice Address - State:MI
Practice Address - Zip Code:49079-2008
Practice Address - Country:US
Practice Address - Phone:269-655-3394
Practice Address - Fax:269-655-1557
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-03
Last Update Date:2025-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI631009241101Y00000X
MI6361006050103TC0700X
MI25170040601103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No101Y00000XBehavioral Health & Social Service ProvidersCounselor